MEDICARE: ALISON HARVEY EWING 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	1030373	TX

General Provider Information

NPI Number	:	1568037596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON HARVEY EWING APRN, FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 733784
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-3784
Country	:	US
Telephone Number	:	682-885-6483
Fax Number	:	682-885-3113

Provider Business Practice Location Address
First Line	:	3200 RIVERFRONT DR STE 103
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-6560
Country	:	US
Telephone Number	:	817-336-3800
Fax Number	:	817-335-9454

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

Provider Enumeration Date	:	05/21/2021
Last Update Date	:	05/22/2023

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