MEDICARE: GIRLEAN CEOLA PARMES NURSE

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	164X00000X	Licensed Vocational Nurse	124187	TX

General Provider Information

NPI Number	:	1518448315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIRLEAN CEOLA PARMES NURSE

Provider Business Mailing Address
First Line	:	7037 WOODACRE RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-6360
Country	:	US
Telephone Number	:	817-915-7043
Fax Number	:

Provider Business Practice Location Address
First Line	:	7037 WOODACRE RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-6360
Country	:	US
Telephone Number	:	817-915-7043
Fax Number	:

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

Provider Enumeration Date	:	08/28/2018
Last Update Date	:	08/28/2018

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Directions to “ GIRLEAN CEOLA PARMES NURSE” Practice Location

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