Susan Rene' Avants
Nurse Practitioner - Pediatrics
12221 Merit Dr Ste 1610
Dallas
, Texas 75251-2204
Susan Rene' Avants
Nurse Practitioner - Pediatrics
12221 Merit Dr Ste 1610
Dallas
, Texas 75251-2204
(214) 217-1912
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Susan Rene' Avants
- 12221 Merit Dr Ste 1610
- Dallas, TX
- Zip : 75251-2204
- Fax : (214) 217-1912
- Phone : (214) 217-1911
Second Address
- Susan Rene' Avants
- 12221 Merit Dr Ste 1610
- Dallas, TX
- Zip : 75251-2204
- Fax : (214) 217-1912
- Phone : (214) 217-1911
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LP0200X | Nurse Practitioner - Pediatrics | 653558 | TX |
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP113192 | TX |
National Provider Identifier
| NPI | 1033449921 |
|---|---|
| Provider Name | Susan Rene' Avants |
| First Address | Dallas, TX 75251-2204 |
| Second Address | Dallas, TX 75251-2204 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/12/2009 |
| Last Update Date | 12/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.