NPI age
19 years
Enumerated 2006-12-01
Across 5095 active nurse practitioner providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (MN) | 411G8PU | BCBS |
| 01 (TX) | AP124297 | APRN LICENSE |
| 01 (TX) | 842313 | RN LICENSE |
| 01 (MN) | HP55618 | HEALTHPARTNERS |
| 05 (MN) | 438944100 |
Part of a multi-provider practice. 39 other active providers share this practice address in NPPES.
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