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NPI Code Detail

MEDICARE: GLORIA SEMBRANO MSN, APRN, FNP-C

MEDICARE: GLORIA SEMBRANO MSN, 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 Practitioner1003079TX

General Provider Information

NPI Number : 1801401823
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA SEMBRANO MSN, APRN, FNP-C
Provider Business Mailing Address
First Line : 7829 CATTLEMEN DR
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78414-5814
Country : US
Telephone Number : 361-695-9796
Fax Number :
Provider Business Practice Location Address
First Line : 7442 S STAPLES ST
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78413-5316
Country : US
Telephone Number : 361-991-0289
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2020
Last Update Date : 09/25/2020

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