Individual
PATTY LYNETTE DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2025
Mailing address
PO BOX 650859, DEPT 710, DALLAS, TX 75265-0859
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
AP140897
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP140897
TX
Other
Enumeration date
03/06/2019
Last updated
03/26/2019
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