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NPI Code Detail

MEDICARE: MS. DEBBIE UCCI ACNP

MEDICARE: MS. DEBBIE UCCI 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 Practitioner234672TX

General Provider Information

NPI Number : 1124044508
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBBIE UCCI ACNP
Provider Business Mailing Address
First Line : PO BOX 5839
Second Line :
City : WACO
State : TX
Zip : 76708-0839
Country : US
Telephone Number : 254-202-6546
Fax Number : 254-202-6541
Provider Business Practice Location Address
First Line : 3000 HERRING AVE
Second Line :
City : WACO
State : TX
Zip : 76708-3239
Country : US
Telephone Number : 254-202-6546
Fax Number : 254-202-6541
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2006
Last Update Date : 07/08/2007

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