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NPI Code Detail

MEDICARE: ALMA LILIANA PEDERSON

MEDICARE: ALMA LILIANA PEDERSON
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 PractitionerAP143933TX

General Provider Information

NPI Number : 1518592658
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALMA LILIANA PEDERSON
Provider Business Mailing Address
First Line : 3304 CALVIN RD
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-1416
Country : US
Telephone Number : 214-284-0718
Fax Number :
Provider Business Practice Location Address
First Line : 2760 VIRGINIA PKWY STE 100
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-4964
Country : US
Telephone Number : 972-542-1180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2020
Last Update Date : 03/09/2020

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Directions to “ ALMA LILIANA PEDERSON ” Practice Location

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