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NPI Code Detail

MEDICARE: SHOBHA PANDEY FNP

MEDICARE:   SHOBHA  PANDEY  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 Practitioner1024037TX
2363LP2300XPrimary Care Nurse Practitioner1024037TX

General Provider Information

NPI Number : 1164019717
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHOBHA PANDEY FNP
Provider Business Mailing Address
First Line : 2340 E TRINITY MILLS RD STE 250
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-1946
Country : US
Telephone Number : 972-417-8937
Fax Number :
Provider Business Practice Location Address
First Line : 6029 BELT LINE RD STE 105
Second Line :
City : DALLAS
State : TX
Zip : 75254-7873
Country : US
Telephone Number : 855-893-5637
Fax Number : 817-666-3873
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2020
Last Update Date : 10/23/2024

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Directions to “ SHOBHA PANDEY FNP” Practice Location

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