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NPI Code Detail

MEDICARE: LAURA E TALLEY RN, FNP-C

MEDICARE: LAURA E TALLEY RN, 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
1363LA2100XAcute Care Nurse PractitionerAP136526TX
2363LF0000XFamily Nurse PractitionerAP136526TX

General Provider Information

NPI Number : 1588164479
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA E TALLEY RN, FNP-C
Provider Business Mailing Address
First Line : 5115 FANNIN ST STE 801
Second Line :
City : HOUSTON
State : TX
Zip : 77004-5870
Country : US
Telephone Number : 713-790-0841
Fax Number : 713-790-9663
Provider Business Practice Location Address
First Line : 5115 FANNIN ST STE 801
Second Line :
City : HOUSTON
State : TX
Zip : 77004-5870
Country : US
Telephone Number : 713-790-0841
Fax Number : 713-790-9663
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2018
Last Update Date : 01/27/2026

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