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NPI Code Detail

MEDICARE: SHARON L. ATWELL APN, FNP-BC

MEDICARE: SHARON L. ATWELL APN, 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
1363L00000XNurse Practitioner455960TX
2363LF0000XFamily Nurse Practitioner058497-23NH
3363L00000XNurse Practitioner209008906IL

General Provider Information

NPI Number : 1427088673
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON L. ATWELL APN, FNP-BC
Provider Business Mailing Address
First Line : 538 BROADWAY
Second Line :
City : WINNIE
State : TX
Zip : 77665-7600
Country : US
Telephone Number : 409-296-6000
Fax Number : 409-296-6326
Provider Business Practice Location Address
First Line : 538 BROADWAY
Second Line :
City : WINNIE
State : TX
Zip : 77665-7600
Country : US
Telephone Number : 409-296-6000
Fax Number : 409-296-6326
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 08/26/2014

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