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NPI Code Detail

MEDICARE: MS. LIN VANOVER FNP-C

MEDICARE:  MS. LIN  VANOVER  FNP-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 Practitioner1175031TX

General Provider Information

NPI Number : 1518793793
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LIN VANOVER FNP-C
Provider Business Mailing Address
First Line : 7709 MINHOTA DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76131-2726
Country : US
Telephone Number : 682-351-2438
Fax Number :
Provider Business Practice Location Address
First Line : 7709 MINHOTA DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76131-2726
Country : US
Telephone Number : 682-351-2438
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2024
Last Update Date : 09/12/2024

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Directions to “ MS. LIN VANOVER FNP-C” Practice Location

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