Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 3012464 | KY |
Y | 363LA2100X | Nurse Practitioner - Acute Care | AP134319 | TX |
N | 363LP0222X | Nurse Practitioner Pediatrics (Critical Care) | 3012464 | KY |
NPI | 1023509304 |
---|---|
Provider Name | Maria Taylor Mcnamara |
First Address | Dallas, TX 75373-3784 |
Second Address | Fort Worth, TX 76104-2733 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2018 |
Last Update Date | 06/04/2021 |