DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. LORI NICOLE EBENKAMP APRN, CPNP-PC

MEDICARE:  MRS. LORI NICOLE EBENKAMP  APRN, CPNP-PC
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
1163W00000XRegistered Nurse747314TX
2363LP0200XPediatric Nurse PractitionerAP139365TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
128150OTHERTXRX AUTHORIZATION
2AP139365OTHERTXAPRN
3747314OTHERTXRN

General Provider Information

NPI Number : 1497225478
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LORI NICOLE EBENKAMP APRN, CPNP-PC
Provider Business Mailing Address
First Line : 1915 E MAYFIELD RD STE 115
Second Line :
City : ARLINGTON
State : TX
Zip : 76014-2605
Country : US
Telephone Number : 682-276-6700
Fax Number :
Provider Business Practice Location Address
First Line : 1915 MAYFIELD ROAD #115
Second Line :
City : ARLINGTON
State : TX
Zip : 76014-2605
Country : US
Telephone Number : 682-276-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2018
Last Update Date : 10/28/2021

Similar Medicare Providers

1386186963 — AYANNA REED APRN, FNP-BC
Practice Location Address:
1915 E MAYFIELD RD STE 115
ARLINGTON, TX
76014-2605
Practice Phone: 682-276-6700
Practice Fax:
1598709149 — DR. RUTH A BERNARDEZ-TAN M.D.
Practice Location Address:
1915 E MAYFIELD RD STE 115
ARLINGTON, TX
76014-2605
Practice Phone: 682-276-6700
Practice Fax: 682-276-6049
1790199735 — NIKITA PATEL M.D.
Practice Location Address:
1915 E MAYFIELD RD STE 115
ARLINGTON, TX
76014-2605
Practice Phone: 682-276-6700
Practice Fax:
1972128510 — MILLICENT ROSE PALACIOS DNP, APRN, CPNP
Practice Location Address:
1915 E MAYFIELD RD STE 115
ARLINGTON, TX
76014-2605
Practice Phone: 682-276-6700
Practice Fax: 682-276-6025
1376262691 — KATRINA IRIS BANSIGAN
Practice Location Address:
1915 E MAYFIELD RD STE 115
ARLINGTON, TX
76014-2605
Practice Phone: 682-276-6700
Practice Fax:
1467150185 — ROSE PHAM
Practice Location Address:
1915 E MAYFIELD RD STE 115
ARLINGTON, TX
76014-2605
Practice Phone: 682-276-6700
Practice Fax:

Directions to “ MRS. LORI NICOLE EBENKAMP APRN, CPNP-PC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.