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NPI Code Detail

MEDICARE: DUSTY DAWN BEST APRN, NP-C

MEDICARE: DUSTY DAWN BEST APRN, NP-C
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 Practitioner1111038TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11111038OTHERTXTEXAS BOARD OF NURSING

General Provider Information

NPI Number : 1508564329
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUSTY DAWN BEST APRN, NP-C
Provider Business Mailing Address
First Line : 1908 FOXTAIL PL
Second Line :
City : SPRING
State : TX
Zip : 77380-1833
Country : US
Telephone Number : 740-547-9931
Fax Number :
Provider Business Practice Location Address
First Line : 415 WOODLINE DR
Second Line :
City : SPRING
State : TX
Zip : 77386-1977
Country : US
Telephone Number : 281-528-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2023
Last Update Date : 02/21/2023

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