NPI age
17 years
Enumerated 2008-08-14
Across 22123 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (CA) | P01282962/DU4034 | RAILROAD MEDICARE |
| 05 (CA) | FONTANA-EFF.6/4/13 | |
| 05 (CA) | EFF.4/9/13-RIALTO | |
| 05 (CA) | EFF: 5/3/2012 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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