Tiffany Merrill Ketzle APRN, ANP-C

NPI 1982719837 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1982719837
Gender Female
Enumeration Date 08/20/2006
Last Updated 05/08/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
6513 PRESTON RD
SUITE 300
PLANO TX, 75024-2688, US
Phone (972) 608-2025
Fax (972) 608-2032
Business Location
4537 ELDORADO DR
PLANO TX, 75093-5406, US
Phone (972) 867-0129
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Texas
License Number 681853
Remove 1982719837 NPI Number
 

According to our database, Tiffany Merrill Ketzle APRN, ANP-C NPI is 1982719837, taxonomy code is 363LA2200X and license number is 681853, license state is located at Texas. Tiffany Merrill Ketzle APRN, ANP-C physically located at 6513 Preston Rd, Plano TX, 75024-2688. NPI Number Tiffany Merrill Ketzle APRN, ANP-C has the Individual type.

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1982719837 NPI number is provided on an as is basis without warranty of any kind. 1982719837 is maintained by the National Plan & Provider Enumeration System. The contents of Tiffany Merrill Ketzle APRN, ANP-C are for informational purposes only.