Individual
MAGGIE JANE IMPASTATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN,RN, AGACNP-BC
Contact information
Practice address
100 HILLCREST MEDICAL BLVD, WACO, TX 76712-8897
(254) 202-2000
Mailing address
PO BOX 848491, DALLAS, TX 75284-8491
(254) 202-9330
(254) 202-9349
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
AP134711
TX
363L00000X
Nurse Practitioner
Primary
AP134711
TX
363LA2100X
Acute Care Nurse Practitioner
9223
WI
Other
Enumeration date
08/01/2017
Last updated
12/23/2021
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