Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | AP127884 | TX |
NPI | 1114312345 |
---|---|
Provider Name | Mrs. Courtney Lynn Saenz |
First Address | Frisco, TX 75035-8886 |
Second Address | Plano, TX 75075-6199 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2015 |
Last Update Date | 03/04/2015 |