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NPI Code Detail

MEDICARE: TRUDIAN ALICIA LESTER-HAUGHTON FNP

MEDICARE:   TRUDIAN ALICIA LESTER-HAUGHTON  FNP
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 PractitionerF11180211TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073170411
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRUDIAN ALICIA LESTER-HAUGHTON FNP
Provider Business Mailing Address
First Line : 670 W PRINCETON DR STE 440
Second Line :
City : PRINCETON
State : TX
Zip : 75407-2533
Country : US
Telephone Number : 972-699-5250
Fax Number :
Provider Business Practice Location Address
First Line : 670 W PRINCETON DR STE 440
Second Line :
City : PRINCETON
State : TX
Zip : 75407-2533
Country : US
Telephone Number : 972-699-5250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2019
Last Update Date : 01/16/2026

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Directions to “ TRUDIAN ALICIA LESTER-HAUGHTON FNP” Practice Location

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