MEDICARE: MS. MARISOL PACHECO ARMSTRONG GNP, AGPCNP

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	363LG0600X	Gerontology Nurse Practitioner	652699	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P01843051	OTHER	TX	RAILROAD

General Provider Information

NPI Number	:	1457681470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARISOL PACHECO ARMSTRONG GNP, AGPCNP

Provider Business Mailing Address
First Line	:	5813 W WADLEY AVE
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79707-5055
Country	:	US
Telephone Number	:	432-570-0052
Fax Number	:	432-570-0053

Provider Business Practice Location Address
First Line	:	5813 W WADLEY AVE
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79707-5055
Country	:	US
Telephone Number	:	432-570-0052
Fax Number	:	432-570-0053

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

Provider Enumeration Date	:	01/14/2010
Last Update Date	:	09/03/2024

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