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NPI Code Detail

MEDICARE: ROSE M MARR RNC NP

MEDICARE: ROSE M MARR RNC NP
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 Practitioner233640TX

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 : 1427166917
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSE M MARR RNC NP
Provider Business Mailing Address
First Line : 1906 W US HIGHWAY 82
Second Line :
City : SHERMAN
State : TX
Zip : 75092-6893
Country : US
Telephone Number : 903-892-8398
Fax Number : 903-892-7903
Provider Business Practice Location Address
First Line : 1906 W US HIGHWAY 82
Second Line :
City : SHERMAN
State : TX
Zip : 75092-6893
Country : US
Telephone Number : 903-892-8398
Fax Number : 903-892-7903
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2006
Last Update Date : 09/18/2013

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