NPI age
20 years
Enumerated 2006-05-03
Across 22123 active nurse practitioner providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1137036 | TEXAS NP LICENSE |
| 01 (AZ) | 301733 | ARIZONA BOARD OF NURSING |
| 01 (IN) | 71001856A | INDIANA NP LICENSE |
| 05 (IN) | 200809760 | |
| 01 | 11558545 | CAQH |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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