Individual provider · Type 1 NPI
Daryl Keith Motsenbocker, AG-ACNP
Acute Care Nurse Practitioner · Dallas, TX
NPI number
1003261512
Active
Practice location
221 W Colorado Blvd, Pavillion 2, Suite 929
Dallas, TX 75208-2363
Fax (214) 947-2727
Mailing address
1113 Pin Oak Dr
Denton, TX 76209-4624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 754742 (TX) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | AP130775 (TX) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1003261512
Daryl Keith Motsenbocker, AG-ACNP's National Provider Identifier is 1003261512, issued on May 3, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Dallas, TX. The record was last updated on May 3, 2016.