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NPI Code Detail

MEDICARE: MARIANNE DU FNP

MEDICARE: MARIANNE DU 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 PractitionerAP125316TX

General Provider Information

NPI Number : 1447663992
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANNE DU FNP
Provider Business Mailing Address
First Line : 4565 STATEN ISLAND CT
Second Line :
City : PLANO
State : TX
Zip : 75024-4715
Country : US
Telephone Number : 972-974-2338
Fax Number :
Provider Business Practice Location Address
First Line : 4565 STATEN ISLAND CT
Second Line :
City : PLANO
State : TX
Zip : 75024-4715
Country : US
Telephone Number : 972-974-2338
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2014
Last Update Date : 06/03/2014

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Directions to “ MARIANNE DU FNP” Practice Location

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