MEDICARE: MERI PATRICIA PITANIELLO

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	363L00000X	Nurse Practitioner	AP142467	TX

General Provider Information

NPI Number	:	1457901027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERI PATRICIA PITANIELLO

Provider Business Mailing Address
First Line	:	9900 N CENTRAL EXPY STE 215
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-0929
Country	:	US
Telephone Number	:	469-231-5085
Fax Number	:	469-217-7062

Provider Business Practice Location Address
First Line	:	8210 WALNUT HILL LN STE 312
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4419
Country	:	US
Telephone Number	:	214-238-3074
Fax Number	:

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

Provider Enumeration Date	:	09/16/2019
Last Update Date	:	09/16/2019

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Directions to “ MERI PATRICIA PITANIELLO ” Practice Location

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