ELITE FAMILY PRACTICE LLC NPI 1629708151

NPI Information

NPI: 1629708151
Provider Name: ELITE FAMILY PRACTICE LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 45D2264154

Address:
1900 W WALL ST STE B
MIDLAND, TX
ZIP 79701
Phone: (432) 247-1309
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ELITE FAMILY PRACTICE LLC is a family nurse practitioner in Midland, TX. ELITE FAMILY PRACTICE LLC NPI is 1629708151. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1900 W WALL ST STE B
MIDLAND, TX
ZIP 79701-568
Phone: (432) 247-1309
Fax: (432) 247-1250

The provider's authorized official is Erin Nicole Mann .
The authorized official title is Fnp/owner and has the following contact phone number (432) 247-1309.

The CLIA number assigned to this NPI record is 45D2264154 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2022 and was last updated on 6/23/2022.

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			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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