MEDICARE: MS. CAROL GUNNOE MSN, RNCS,FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	253229	TX

General Provider Information

NPI Number	:	1326357237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAROL GUNNOE MSN, RNCS,FNP-BC

Provider Business Mailing Address
First Line	:	8653 NORTHRIDGE LOOP
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78045-7517
Country	:	US
Telephone Number	:	956-727-4255
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 FREES ST
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78046-7152
Country	:	US
Telephone Number	:	956-712-8131
Fax Number	:	956-712-0538

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2010
Last Update Date	:	02/06/2014

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