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NPI Code Detail

MEDICARE: MRS. KATRENA MICHELLE LERMA NP-C

MEDICARE: MRS. KATRENA MICHELLE LERMA NP-C
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 PractitionerAP119272TX

General Provider Information

NPI Number : 1225347164
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATRENA MICHELLE LERMA NP-C
Provider Business Mailing Address
First Line : 6363 N STATE HIGHWAY 161 STE 100
Second Line :
City : IRVING
State : TX
Zip : 75038-2239
Country : US
Telephone Number : 469-200-3804
Fax Number :
Provider Business Practice Location Address
First Line : 6363 N STATE HIGHWAY 161 STE 100
Second Line :
City : IRVING
State : TX
Zip : 75038-2239
Country : US
Telephone Number : 469-200-3272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2010
Last Update Date : 04/22/2024

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