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NPI Code Detail

MEDICARE: REGINA ALYSE MCCLURE APRN, WHNP-BC

MEDICARE: REGINA ALYSE MCCLURE APRN, WHNP-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
1363LW0102XWomen's Health Nurse Practitioner1054197TX

General Provider Information

NPI Number : 1841958089
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGINA ALYSE MCCLURE APRN, WHNP-BC
Provider Business Mailing Address
First Line : 10501 KATALPA DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76179-1077
Country : US
Telephone Number : 915-269-8847
Fax Number :
Provider Business Practice Location Address
First Line : 1141 KELLER PKWY STE A
Second Line :
City : KELLER
State : TX
Zip : 76248-1628
Country : US
Telephone Number : 817-741-2601
Fax Number : 817-745-2601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2021
Last Update Date : 03/03/2026

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