Individual provider · Type 1 NPI

Mayra Cruz Koedam, FNP-C

Family Nurse Practitioner · Dallas, TX

NPI number 1346695178 Active

Practice location

8160 Walnut Hill Ln Ste 306
Dallas, TX 75231-4391

Call (214) 345-8060 Map

Fax (214) 345-8229

Mailing address

8160 Walnut Hill Lane, Suite 306
Dallas, TX 75231

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Family Nurse Practitioner Primary	363LF0000X	AP130975 (TX)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

Ann E. Lutich, MD PAMedical Specialty Clinic/Center Dallas, TX NPI 1912163239
Carolyn Conklin, NP-CAcute Care Nurse Practitioner Dallas, TX NPI 1720470099
Emma CumminsPhysician Assistant Dallas, TX NPI 1043881907

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About NPI 1346695178

Mayra Cruz Koedam, FNP-C's National Provider Identifier is 1346695178, issued on Apr 29, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Jul 21, 2022.