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1891797627

NPI Code Detail

MEDICARE: MS. SUNDYE MARIE WEST FNP-C

MEDICARE: MS. SUNDYE MARIE WEST FNP-C

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	AP112957	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	8B7163	OTHER	TX	MEDICARE PROVIDER NUMBER

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891797627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SUNDYE MARIE WEST FNP-C

Provider Business Mailing Address
First Line	:	141 INDUSTRIAL AVE
Second Line	:
City	:	AZLE
State	:	TX
Zip	:	76020-2901
Country	:	US
Telephone Number	:	817-444-3231
Fax Number	:	817-444-3234

Provider Business Practice Location Address
First Line	:	141 INDUSTRIAL AVE
Second Line	:
City	:	AZLE
State	:	TX
Zip	:	76020-2901
Country	:	US
Telephone Number	:	817-444-3231
Fax Number	:	817-444-3234

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	02/22/2022

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Directions to “ MS. SUNDYE MARIE WEST FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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