MRS. PAULINE WINSOME MCLARTY-NEVERS


Address: 7777 Forest Lane, Building B, Suite 200, Dallas, TX 75320
Phone: 9725668900

MRS. PAULINE WINSOME MCLARTY-NEVERS (NPI# 1194152959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194152959
Entity Type Individual
Full Name MRS. PAULINE WINSOME MCLARTY-NEVERS
Other Name PAULINE MCLARTY-NEVERS
Credential ACNP
Practice Address 7777 Forest Lane
Building B, Suite 200
Dallas
TX 75320
Mailing Address 1601 Lancaster Dr
Grapevine
TX 76051-2109
Practice Telephone 9725668900
Mailing Telephone 8175766665
Mailing Fax Number 8175766663
Enumeration Date 2013-10-10
Last Update Date 2018-02-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
654559 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7777 FOREST LANE,
BUILDING B, SUITE 200
City DALLAS
State TX
Zip Code 75320

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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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City DALLAS
Zip Code 75320

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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