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NPI Code Detail

MEDICARE: ANUM ALI FNP

MEDICARE: ANUM ALI 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 PractitionerAP136603TX

General Provider Information

NPI Number : 1346740438
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANUM ALI FNP
Provider Business Mailing Address
First Line : 2919 MARKUM DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76117-4004
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2919 MARKUM DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76117-4004
Country : US
Telephone Number : 817-831-0321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2018
Last Update Date : 02/15/2018

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Directions to “ ANUM ALI FNP” Practice Location

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