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MRS. ELIZABETH ANN BREEDLOVE FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1982844213

Individual Registrant:
MRS. ELIZABETH ANN BREEDLOVE FNP
Gender: F
Sole Proprietor

Location and contact information for practice:
810 N HILL ST SUITE 2 TATUM, TX 75691-1740 US
Tel: 903-947-2020  Fax: 903-947-3292

Contact information for business:
810 N HILL ST SUITE 2 TATUM, TX 75691-1740 US
Tel: 903-947-2020  Fax: 903-947-3292

Registration Information:
NPI: 1982844213
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
TX691969

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS TX - Page 1



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