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NPI Code Detail

MEDICARE: ANITA J FALLS CFNP

MEDICARE:   ANITA J FALLS  CFNP
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
1363L00000XNurse PractitionerR857133MS

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 : 1205881307
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANITA J FALLS CFNP
Provider Business Mailing Address
First Line : 1002 E MADISON ST STE 2
Second Line :
City : HOUSTON
State : MS
Zip : 38851-2428
Country : US
Telephone Number : 662-456-4277
Fax Number : 662-456-9589
Provider Business Practice Location Address
First Line : 1002 E MADISON ST STE 2
Second Line :
City : HOUSTON
State : MS
Zip : 38851-2428
Country : US
Telephone Number : 662-456-4277
Fax Number : 662-456-9589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 02/19/2008

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Directions to “ ANITA J FALLS CFNP” Practice Location

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