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Individual
MARY ANGELA MCINNIS
Active
Individual
MARY ANGELA MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, ENP, FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
671796
TX
363L00000X
Nurse Practitioner
Primary
671796
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
671796
LICENSE
TX
Enumeration date
03/11/2008
Last updated
04/17/2017
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