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NPI Code Detail

MEDICARE: MRS. NICOLE ALEXANDRA MCCAMERON RNFA

MEDICARE: MRS. NICOLE ALEXANDRA MCCAMERON RNFA
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
1163WR0006XRegistered Nurse First Assistant751174TX

General Provider Information

NPI Number : 1205372737
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NICOLE ALEXANDRA MCCAMERON RNFA
Provider Business Mailing Address
First Line : 1637 JEFFREY DR
Second Line :
City : WYLIE
State : TX
Zip : 75098-8940
Country : US
Telephone Number : 972-567-9937
Fax Number :
Provider Business Practice Location Address
First Line : 1202 E ARAPAHO RD STE 122
Second Line :
City : RICHARDSON
State : TX
Zip : 75081-2400
Country : US
Telephone Number : 972-567-9937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2017
Last Update Date : 03/18/2024

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