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NPI Code Detail

MEDICARE: TWYLA DOCKERY CATHION PNP

MEDICARE: TWYLA DOCKERY CATHION PNP
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
1363LP0200XPediatric Nurse PractitionerR110132MD

General Provider Information

NPI Number : 1760407662
Entity Type Code : Individual
Provider Name (Legal Business Name) : TWYLA DOCKERY CATHION PNP
Provider Business Mailing Address
First Line : 901 HARRY S TRUMAN DR N FL 8
Second Line :
City : LARGO
State : MD
Zip : 20774-5477
Country : US
Telephone Number : 240-677-1800
Fax Number : 240-677-1801
Provider Business Practice Location Address
First Line : 901 HARRY S TRUMAN DR N FL 8
Second Line :
City : LARGO
State : MD
Zip : 20774-5477
Country : US
Telephone Number : 240-677-1800
Fax Number : 240-677-1801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 08/03/2022

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Directions to “ TWYLA DOCKERY CATHION PNP” Practice Location

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