Facts
- Status
- A
- Credential
- APRN-CNP
- Type
- Individual
- Enumeration date
- 2024-10-10
- Last updated
- 2025-04-16
Specialties
Licenses
- License TX
- 1177381
Location
- Practice location
- 400 W PLUMMER ST
- City
- EASTLAND TX
- Postal code
- 764482627
- Phone
- 254-629-1744
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.