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NPI Code Detail

MEDICARE: PATRICIA ANN PLUMER MSN, RN, ANP-BC

MEDICARE: PATRICIA ANN PLUMER MSN, RN, ANP-BC
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
1363L00000XNurse Practitioner598091TX

Other Identifiers

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

General Provider Information

NPI Number : 1578585998
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA ANN PLUMER MSN, RN, ANP-BC
Provider Business Mailing Address
First Line : 9320 DOSIER CV W
Second Line :
City : FORT WORTH
State : TX
Zip : 76179-3283
Country : US
Telephone Number : 817-236-3022
Fax Number :
Provider Business Practice Location Address
First Line : 8001 WESTERN HILLS BLVD
Second Line :
City : FORT WORTH
State : TX
Zip : 76108-3524
Country : US
Telephone Number : 817-236-3022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 11/07/2007

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