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ELIZABETH BREEDLOVE FAMILY PRACTICE & AESTHETICS NPI 1437380953


NPI Information

NPI: 1437380953
Provider Name: ELIZABETH BREEDLOVE FAMILY PRACTICE & AESTHETICS
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
907 N 4TH ST
LONGVIEW, TX
ZIP 75601
Phone: (903) 241-0513
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ELIZABETH BREEDLOVE FAMILY PRACTICE & AESTHETICS is a family nurse practitioner in Longview, TX. ELIZABETH BREEDLOVE FAMILY PRACTICE & AESTHETICS NPI is 1437380953. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

907 N 4TH ST
LONGVIEW, TX
ZIP 75601-416
Phone: (903) 241-0513

The provider's authorized official is Elizabeth Ann Breedlove .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (903) 241-0513.

The enumeration date for this NPI number is 7/31/2009 and was last updated on 7/31/2009.


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
1363LF0000XNurse PractitionerFamily691969TEXASYes

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

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