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NPI Code Detail

MEDICARE: MRS. YASHMI GAUTAM-CHETAN PATEL FNP

MEDICARE:  MRS. YASHMI GAUTAM-CHETAN PATEL  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 PractitionerAP139208TX
2363L00000XNurse PractitionerAP139208TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1F09180963OTHERFNP CERTIFICATION

General Provider Information

NPI Number : 1760953863
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. YASHMI GAUTAM-CHETAN PATEL FNP
Provider Business Mailing Address
First Line : 4429 HEATH CT
Second Line :
City : PLANO
State : TX
Zip : 75024-3874
Country : US
Telephone Number : 832-483-5603
Fax Number :
Provider Business Practice Location Address
First Line : 4708 ALLIANCE BLVD STE 770
Second Line :
City : PLANO
State : TX
Zip : 75093-5350
Country : US
Telephone Number : 972-526-0910
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2018
Last Update Date : 12/20/2022

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Directions to “ MRS. YASHMI GAUTAM-CHETAN PATEL FNP” Practice Location

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