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MRS. ELIZABETH ANN BREEDLOVE FNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1982844213
Individual Registrant:MRS. ELIZABETH ANN BREEDLOVE FNP
Gender: F
Sole Proprietor
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
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
Tel: 903-947-2020 Fax: 903-947-3292
Registration Information:
NPI: 1982844213
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | TX | 691969 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
