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NPI Code Detail

MEDICARE: MRS. ANN PALAGI-PATE CNM, WHNP-BC

MEDICARE:  MRS. ANN  PALAGI-PATE  CNM, WHNP-BC
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
1367A00000XAdvanced Practice Midwife734129TX
2363LW0102XWomen's Health Nurse Practitioner734129TX

General Provider Information

NPI Number : 1588076483
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANN PALAGI-PATE CNM, WHNP-BC
Provider Business Mailing Address
First Line : 1201 S MAIN ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4804
Country : US
Telephone Number : 817-702-6540
Fax Number :
Provider Business Practice Location Address
First Line : 1201 S MAIN ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4804
Country : US
Telephone Number : 817-702-6540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2014
Last Update Date : 05/28/2019

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Directions to “ MRS. ANN PALAGI-PATE CNM, WHNP-BC” Practice Location

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