Individual
MISS CAROLINE TRIANA LUPERCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1200 ROSS ST STE 100, AMARILLO, TX 79102-4411
(806) 418-6966
(806) 418-6967
Mailing address
1200 ROSS ST STE 100, AMARILLO, TX 79102-4411
(806) 418-6966
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1056569
TX
363LP2300X
Primary Care Nurse Practitioner
1056569
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1056569
TEXAS BOARD OF NURSING
TX
01
—
905585
TEXAS BOARD OF NURSING RN LICENSURE
TX
Enumeration date
10/08/2021
Last updated
11/08/2021
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