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NPI Code Detail

MEDICARE: TAYLOR BERNSTEIN RN, FNP-C

MEDICARE:   TAYLOR  BERNSTEIN  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
1363LF0000XFamily Nurse PractitionerAP127453TX

General Provider Information

NPI Number : 1740671791
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR BERNSTEIN RN, FNP-C
Provider Business Mailing Address
First Line : 2100 N MAIN ST
Second Line : STE 110
City : FORT WORTH
State : TX
Zip : 76164-8570
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2106 N MAIN ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76164-8511
Country : US
Telephone Number : 817-625-4254
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2015
Last Update Date : 03/28/2022

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Directions to “ TAYLOR BERNSTEIN RN, FNP-C” Practice Location

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