WELLCARE GERIATRIC SERVICES PLLC NPI 1285394312

NPI Information

NPI: 1285394312
Provider Name: WELLCARE GERIATRIC SERVICES PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
9511 PLAZA POINT DR
MISSOURI CITY, TX
ZIP 77459
Phone: (979) 645-0105
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WELLCARE GERIATRIC SERVICES PLLC is a family nurse practitioner in Missouri City, TX. WELLCARE GERIATRIC SERVICES PLLC NPI is 1285394312. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9511 PLAZA POINT DR
MISSOURI CITY, TX
ZIP 77459-244
Phone: (979) 645-0105

The provider's authorized official is Carolyne Kimelimbaraka .
The authorized official title is Nurse Practitioner and has the following contact phone number (979) 645-0105.

The enumeration date for this NPI number is 12/30/2021 and was last updated on 12/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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