Individual
LARANDA RENEE FEEMSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 E FREY ST, STEPHENVILLE, TX 76401-2603
(254) 968-0411
(254) 968-0461
Mailing address
PO BOX 2444, STEPHENVILLE, TX 76401-0040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP143165
TX
Other
Enumeration date
09/22/2019
Last updated
09/07/2023
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