Dezra Ann Fain in Addison - Nurse Practitioner
Dezra Ann Fain - NPI 1639268527
Dezra Ann Fain is a Nurse Practitioner in Addison, Texas. Dezra Ann Fain practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Dezra Ann Fain is 1639268527. The last update date is 2012-04-03.
Dezra Ann Fain's current location address is 14131 Midway Rd, Addison, Texas. You can contact this provider via phone number 9722490200 and fax number 9722490206. The mailing address for Dezra Ann Fain is 14131 Midway Rd, Addison, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dezra Ann Fain |
|---|---|
| Address | 14131 Midway Rd, Addison, Texas |
| Phone Number | 9722490200 |
| Fax Number | 9722490206 |
| Sole Proprietor | N |
| Credentials | RN MSN FNP |
NPI Number Detail
| NPI Number | 1639268527 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2012-04-03 |
Provider Mailing Address Detail
| Address | 14131 Midway Rd |
|---|---|
| City | Addison |
| State | Texas (TX) |
| Post Code | 750013623 |
| Phone Number | 9722490200 |
| Fax Number | 9722490206 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 689726 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Post Comment/ Review Below
What is the unique identifier code issued to Dezra Ann Fain by the Centers for Medicare & Medicaid Services?
The Dezra Ann Fain has been assigned the NPI (National Provider Identifier) 1639268527. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Dezra Ann Fain is geographically located?
The Dezra Ann Fain is physically situated at the following location: 14131 Midway Rd, Addison, TX, 750013623.
What is Dezra Ann Fain's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dezra Ann Fain's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Dezra Ann Fain receive the assignment of its 1639268527 from the Centers for Medicare & Medicaid Services?
The Dezra Ann Fain was issued its 1639268527 by the Centers for Medicare & Medicaid Services on 2006-10-11.
When was the information related to Dezra Ann Fain most recently updated or refreshed?
The details pertaining to the Dezra Ann Fain, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-04-03.