MEDICARE: KOURTNEY TAPNIO

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN-4432	HI
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0101798	CO
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1036018	TX
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP61227463	WA

General Provider Information

NPI Number	:	1720688930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KOURTNEY TAPNIO

Provider Business Mailing Address
First Line	:	13500 W AIRPORT BLVD
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-6317
Country	:	US
Telephone Number	:	832-780-3819
Fax Number	:	832-336-3905

Provider Business Practice Location Address
First Line	:	11929 UNIVERSITY BLVD STE 2B
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4757
Country	:	US
Telephone Number	:	832-780-3819
Fax Number	:	832-336-3905

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2020
Last Update Date	:	12/08/2024

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Directions to “ KOURTNEY TAPNIO ” Practice Location

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