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Organization

PATTI PLUMER NP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PATRICIA ANN PLUMER MSN APRN BC (OWNER)
(817) 821-3787
Entity
Organization

Contact information

Practice address
8001 WESTERN HILLS BLVD, FORT WORTH, TX 76108-3524
(817) 236-3022
Mailing address
9320 DOSIER COVE WEST, FORT WORTH, TX 76179
(817) 821-3787
(817) 236-3022

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
598091
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
598091
STATE LICENSE #
TX
Enumeration date
12/05/2006
Last updated
03/25/2008
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