NPI age
17 years
Enumerated 2008-11-18
Across 5095 active nurse practitioner providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (NC) | 196483 | NCBON- RN LICENSE |
| 01 (NC) | 2008006354 | ANCC- FNP CERTIFICATION |
| 01 (NC) | 2013020566 | ANCC |
| 01 (MT) | APRN-LIC-127603 | MONTANA APRN LICENSE |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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