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NPI Code Detail

MEDICARE: SUSAN FOLSOM APRN-CNP

MEDICARE: SUSAN FOLSOM APRN-CNP
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 Practitioner1113050TX

General Provider Information

NPI Number : 1598453813
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN FOLSOM APRN-CNP
Provider Business Mailing Address
First Line : 6124 FARRAH DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76131-1265
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6124 FARRAH DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76131-1265
Country : US
Telephone Number : 469-506-3595
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2023
Last Update Date : 10/12/2024

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Directions to “ SUSAN FOLSOM APRN-CNP” Practice Location

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