MEDICARE: ASHLEY PRATEL MSN, APRN, 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
1	363LF0000X	Family Nurse Practitioner	1031874	TX

General Provider Information

NPI Number	:	1548850571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY PRATEL MSN, APRN, FNP-C

Provider Business Mailing Address
First Line	:	1827 LA MAGNOLIA DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-1190
Country	:	US
Telephone Number	:	956-204-4249
Fax Number	:

Provider Business Practice Location Address
First Line	:	1103 BOMAR ST STE A100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-1223
Country	:	US
Telephone Number	:	832-346-4146
Fax Number	:

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

Provider Enumeration Date	:	01/23/2021
Last Update Date	:	11/19/2024

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