Healthcare Provider Details

I. General information

NPI: 1831441385
Provider Name (Legal Business Name): MARCY LEANN ASKINS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2012
Last Update Date: 01/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 BRIARWOOD AVE SUITE 203
MIDLAND TX
79707-2753
US

IV. Provider business mailing address

6410 BRANDON
ODESSA TX
79762-5470
US

V. Phone/Fax

Practice location:
  • Phone: 432-687-6870
  • Fax: 432-687-5558
Mailing address:
  • Phone: 432-661-8808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP122609
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: