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NPI Code Detail

MEDICARE: NITA ANN LITTLE FNP

MEDICARE: NITA ANN LITTLE FNP
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
1363LF0000XFamily Nurse PractitionerAP107334TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AP107334OTHERTXTBON

General Provider Information

NPI Number : 1669465795
Entity Type Code : Individual
Provider Name (Legal Business Name) : NITA ANN LITTLE FNP
Provider Business Mailing Address
First Line : PO BOX 1326
Second Line :
City : MARSHALL
State : TX
Zip : 75671-1326
Country : US
Telephone Number : 903-927-3782
Fax Number : 903-927-1764
Provider Business Practice Location Address
First Line : 1011 S WILLIAM ST
Second Line :
City : ATLANTA
State : TX
Zip : 75551-3245
Country : US
Telephone Number : 903-796-2868
Fax Number : 903-796-0826
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 07/07/2022

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