Organization
PEDIATRIX MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY ELLEN FLAVIN RNC, MSN, NNP (NEONATAL NURSE PRACTITONER)
(972) 437-5099
Entity
Organization
Contact information
Practice address
3001 E PRESIDENT GEORGE BUSH HWY, SUITE 250, RICHARDSON, TX 75082-3542
(972) 437-5099
Mailing address
3001 E PRESIDENT GEORGE BUSH HWY, SUITE 250, RICHARDSON, TX 75082-3542
(972) 437-5099
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
676602
TX
Other
Enumeration date
05/13/2006
Last updated
03/03/2016
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