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NPI Code Detail

MEDICARE: PAMELA S WHITENER NP

MEDICARE: PAMELA S WHITENER NP
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
1363LF0000XFamily Nurse Practitioner537428TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184643744
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA S WHITENER NP
Provider Business Mailing Address
First Line : 7001 GRANBURY RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-5912
Country : US
Telephone Number : 817-346-1925
Fax Number : 817-292-7237
Provider Business Practice Location Address
First Line : 7001 GRANBURY RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-5912
Country : US
Telephone Number : 817-346-1925
Fax Number : 817-292-7237
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 02/22/2022

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