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NPI Code Detail

MEDICARE: ELIZABETH ESPARZA FUENTES FNP

MEDICARE:   ELIZABETH ESPARZA FUENTES  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 Practitioner540169TX
2363LF0000XFamily Nurse PractitionerAP108548TX

General Provider Information

NPI Number : 1174704415
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ESPARZA FUENTES FNP
Provider Business Mailing Address
First Line : 2911 NAPLES DR
Second Line :
City : GARLAND
State : TX
Zip : 75040-4279
Country : US
Telephone Number : 972-467-7823
Fax Number :
Provider Business Practice Location Address
First Line : 424 CHURCH ST STE 2600
Second Line :
City : NASHVILLE
State : TN
Zip : 37219-2379
Country : US
Telephone Number : 877-564-3627
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2007
Last Update Date : 04/14/2025

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