NPI age
20 years
Enumerated 2005-07-28
Across 32 active clinical nurse specialist providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | RN157053 | WH NURSE PRACTIONER LICEN |
| 05 (LA) | 1529885 | |
| 01 (LA) | 80052 | PRESCRIPTIVE AUTHORITY# |
| 01 (LA) | P01155808 | MEDICARE RAILROAD PTAN |
| 01 (LA) | AP04630 | LA STATE BOARD OF NURSING - ADVANCED PRACTICE REGISTERED NURSE |
| 01 (LA) | 36958 | CDS LICENSE |
| 01 (LA) | 5H631DF29 | MEDICARE GROUPT# |
Solo or small practice. No other active providers share this practice address in NPPES.
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