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NPI Code Detail

MEDICARE: MISS BOBBIE HUDSON-PYLE FNP

MEDICARE: MISS BOBBIE HUDSON-PYLE 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 Practitioner20969CA
2363LF0000XFamily Nurse Practitioner2021048684MO

General Provider Information

NPI Number : 1679850374
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS BOBBIE HUDSON-PYLE FNP
Provider Business Mailing Address
First Line : 315 E CLEVELAND AVE
Second Line :
City : MONETT
State : MO
Zip : 65708-1704
Country : US
Telephone Number : 417-235-4334
Fax Number :
Provider Business Practice Location Address
First Line : 315 E CLEVELAND AVE
Second Line :
City : MONETT
State : MO
Zip : 65708-1704
Country : US
Telephone Number : 417-235-4334
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2011
Last Update Date : 01/04/2023

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