Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 140607 | TX |
N | 363LP0200X | Nurse Practitioner - Pediatrics | 2002028643 | MO |
NPI | 1003872540 |
---|---|
Provider Name | Dr. Adrienne Milligan Platt |
First Address | Corpus Christi, TX 78418-6824 |
Second Address | Corpus Christi, TX 78411-1721 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 20/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
428969505 | (05) | MO |