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Individual
LIBERTY HILL
Active
Individual
LIBERTY HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1016838
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016838
TEXAS BOARD OF NURSING
TX
01
—
F08201205
AANP
TX
Enumeration date
02/14/2021
Last updated
09/08/2022
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