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NPI Code Detail

MEDICARE: KATHERINE PAVO PADILLA APRN, FNP-C

MEDICARE: KATHERINE PAVO PADILLA APRN, FNP-C
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 PractitionerAP126645TX

General Provider Information

NPI Number : 1629472790
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE PAVO PADILLA APRN, FNP-C
Provider Business Mailing Address
First Line : 408 N GIRAUD
Second Line :
City : COTULLA
State : TX
Zip : 78014-3113
Country : US
Telephone Number : 830-879-2279
Fax Number :
Provider Business Practice Location Address
First Line : 408 N GIRAUD
Second Line :
City : COTULLA
State : TX
Zip : 78014-3113
Country : US
Telephone Number : 830-879-2279
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2014
Last Update Date : 10/17/2014

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Directions to “ KATHERINE PAVO PADILLA APRN, FNP-C” Practice Location

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