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NPI Code Detail

MEDICARE: MS. MARIKA ERIN LOUDENBACK NNP-BC, APRN-CNP

MEDICARE: MS. MARIKA ERIN LOUDENBACK NNP-BC, APRN-CNP
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
1363LN0005XCritical Care Neonatal Nurse Practitioner1192315TX
2163W00000XRegistered NurseRN98181NV

General Provider Information

NPI Number : 1477307478
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIKA ERIN LOUDENBACK NNP-BC, APRN-CNP
Provider Business Mailing Address
First Line : 7207 MOHAWK DR UNIT 307
Second Line :
City : DALLAS
State : TX
Zip : 75235-4381
Country : US
Telephone Number : 425-466-9163
Fax Number :
Provider Business Practice Location Address
First Line : 5200 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-7709
Country : US
Telephone Number : 214-590-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2024
Last Update Date : 01/08/2026

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