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Individual
KATHY PRESPER
Active
Individual
KATHY PRESPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
223451-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
AP142566
TX
363LP2300X
Primary Care Nurse Practitioner
AP142566
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609178995
TRICARE
TX
Enumeration date
11/19/2010
Last updated
02/28/2022
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