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NPI Code Detail

MEDICARE: MS. MOIRA JO PYLE ACNP

MEDICARE: MS. MOIRA JO PYLE ACNP
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
1363LA2100XAcute Care Nurse Practitioner759313TX

General Provider Information

NPI Number : 1043577463
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MOIRA JO PYLE ACNP
Provider Business Mailing Address
First Line : 546 N KEGLEY RD
Second Line :
City : TEMPLE
State : TX
Zip : 76502-4069
Country : US
Telephone Number : 254-215-0900
Fax Number : 254-215-9073
Provider Business Practice Location Address
First Line : 546 N KEGLEY RD
Second Line :
City : TEMPLE
State : TX
Zip : 76502-4069
Country : US
Telephone Number : 254-215-0900
Fax Number : 254-215-9073
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2012
Last Update Date : 04/23/2012

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