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NPI Code Detail

MEDICARE: ANNA SPATARO APRN

MEDICARE: ANNA SPATARO APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner1015903TX

General Provider Information

NPI Number : 1174122824
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA SPATARO APRN
Provider Business Mailing Address
First Line : 5200 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-7709
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5200 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-7709
Country : US
Telephone Number : 469-419-0365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2020
Last Update Date : 01/05/2026

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