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General NPI Number Information
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NPI Number | 1205258068
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Entity Type | Individual
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Provider Name | KATRINA JEANETTE STUART APRN, NNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/14/2014
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 12505 LEBANON RD
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City | FRISCO
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State | TX
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Zip | 75035-8298
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Country | US
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Telephone | 214-343-6663
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Fax | 214-343-2814
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Provider Business Mailing Address
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Address Line | 1121 E SPRING CREEK PKWY. STE. 110, #319
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City | PLANO
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State | TX
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Zip | 75074
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Country | US
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Telephone | 214-343-6663
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Fax | 214-343-2814
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 749624
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | AP125611
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 125611
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License Number State | TX
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