Mary Carol Kistner in Fort Worth - Primary Care
Mary Carol Kistner - NPI 1174787345
Mary Carol Kistner is a Primary Care in Fort Worth, Texas. Mary Carol Kistner practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Mary Carol Kistner is 1174787345. The last update date is 2021-04-19.
Mary Carol Kistner's current location address is 1401 W Pulaski St, Fort Worth, Texas. You can contact this provider via phone number 6828858012 and fax number 6828858014. The mailing address for Mary Carol Kistner is 1401 W Pulaski St, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Carol Kistner |
|---|---|
| Address | 1401 W Pulaski St, Fort Worth, Texas |
| Phone Number | 6828858012 |
| Fax Number | 6828858014 |
| Sole Proprietor | N |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1174787345 |
|---|---|
| Provider Enumeration Date | 2008-07-16 |
| Last Updated Date | 2021-04-19 |
Provider Mailing Address Detail
| Address | 1401 W Pulaski St |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761042717 |
| Phone Number | 6828858012 |
| Fax Number | 6828858014 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 363Lp2300X |
| Licence No | AP117015 |
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Definition: An advanced practice registered nurse expert in comprehensive, first contact primary healthcare for patients of all ages. |
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What is the Mary Carol Kistner's 1174787345?
The Mary Carol Kistner's NPI (National Provider Identifier) Number is 1174787345. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary Carol Kistner?
The Mary Carol Kistner is situated at 1401 W Pulaski St, in the city of Fort Worth, state of TX, with the zip code 761042717.
What is Mary Carol Kistner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Carol Kistner's area of specialization is Primary Care, and the corresponding taxonomy code that categorizes this field of practice is 363Lp2300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174787345 to Mary Carol Kistner?
The Centers for Medicare & Medicaid Services assigned the 1174787345 to Mary Carol Kistner on 2008-07-16.
As of what date were the Mary Carol Kistner's details last updated?
The information pertaining to the Mary Carol Kistner, including its address, specialty, and other details, was most recently updated on 2021-04-19.
NPI Number: 1376546309
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