MEDICARE: KARA MICHELLE KRAMER NURSE PRACTITIONER

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	F0814519	TX
2	363LF0000X	Family Nurse Practitioner	AP131961	TX
3	363L00000X	Nurse Practitioner	F0814519	TX
4	363LF0000X	Family Nurse Practitioner	53-76472-121	KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	003719364	OTHER		MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871900183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA MICHELLE KRAMER NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	4224 PARK SPRINGS BLVD STE 100
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-4729
Country	:	US
Telephone Number	:	817-467-7474
Fax Number	:	817-468-8643

Provider Business Practice Location Address
First Line	:	4224 PARK SPRINGS BLVD STE 100
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-4729
Country	:	US
Telephone Number	:	817-467-7474
Fax Number	:	817-468-8643

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

Provider Enumeration Date	:	07/18/2014
Last Update Date	:	01/06/2022

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Directions to “ KARA MICHELLE KRAMER NURSE PRACTITIONER” Practice Location

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