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Individual
DERYLANN C PRICE
Active
Individual
DERYLANN C PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.,F.N.P.
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
254037
TX
363LF0000X
Family Nurse Practitioner
Primary
254037
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039571701
—
TX
05
—
039571703
—
TX
05
—
039571704
—
TX
05
—
039571705
—
TX
01
—
81N272
BCBS
TX
Enumeration date
08/14/2006
Last updated
09/21/2016
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