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NPI Code Detail

MEDICARE: ASHLEY BETH FARAM NURSE PRACTITIONER

MEDICARE: ASHLEY BETH FARAM NURSE PRACTITIONER
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 Practitioner2025091295TX

General Provider Information

NPI Number : 1568393106
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY BETH FARAM NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 12817 LIZZIE PL
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-5115
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 801 7TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-2733
Country : US
Telephone Number : 682-885-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2026
Last Update Date : 05/25/2026

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