MEDICARE: MRS. MARLENE PALIT APRN, FNP-BC

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	456331	TX

General Provider Information

NPI Number	:	1881970937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARLENE PALIT APRN, FNP-BC

Provider Business Mailing Address
First Line	:	3407 COPPER BREAKS
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-3049
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 NW LOOP 410 STE 100A
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-2220
Country	:	US
Telephone Number	:	210-886-8031
Fax Number	:

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

Provider Enumeration Date	:	11/02/2011
Last Update Date	:	12/19/2022

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