MEDICARE: PROF. EILEEN GIARDINO PHD, FNP, ANP

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	363LF0000X	Family Nurse Practitioner	722676	TX

General Provider Information

NPI Number	:	1780938910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PROF. EILEEN GIARDINO PHD, FNP, ANP

Provider Business Mailing Address
First Line	:	11707 CRESCENT COVE DR
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-3282
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6901 BERTNER AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3901
Country	:	US
Telephone Number	:	713-500-2166
Fax Number	:

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

Provider Enumeration Date	:	11/09/2012
Last Update Date	:	11/09/2012

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