KELLY RENEE PACHECO FNP-BC NPI 1548793284

NPI Information

NPI: 1548793284
Provider Name: KELLY RENEE PACHECO, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
768 COUNTY ROAD 131
BANDERA, TX
ZIP 78003
Phone: (810) 931-2475
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Kelly Renee Pacheco, FNP-BC is a family nurse practitioner in Bandera, TX. Kelly Renee Pacheco, FNP-BC NPI is 1548793284. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

768 COUNTY ROAD 131
BANDERA, TX
ZIP 78003-216
Phone: (810) 931-2475

The enumeration date for this NPI number is 4/10/2017 and was last updated on 10/6/2022.

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	255690	ARIZONA	Yes
2	163W00000X	Registered Nurse		805693	TEXAS	No
3	363LF0000X	Nurse Practitioner	Family	AP144798	TEXAS	No
4	363LF0000X	Nurse Practitioner	Family	903937	MISSISSIPPI	No

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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