Individual
MARY ALANA ELMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
6700 W 9TH AVE, AMARILLO, TX 79106-1701
(806) 358-0200
(806) 356-5590
Mailing address
PO BOX 840020, DALLAS, TX 75284-0020
(806) 358-0200
(806) 356-5590
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP126334
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345016502
—
TX
01
—
881963
MEDICARE
TX
Enumeration date
12/17/2007
Last updated
11/16/2021
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