Individual provider · Type 1 NPI
Annette L. Bacon, WHCNP
Women's Health Nurse Practitioner · Dallas, TX
NPI number
1366506362
Active
Practice location
5201 Harry Hines Blvd, Medical Staff Services
Dallas, TX 75235-7708
Mailing address
PO Box 660599
Dallas, TX 75266-0599
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | 530649 (TX) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1366506362
Annette L. Bacon, WHCNP's National Provider Identifier is 1366506362, issued on Dec 21, 2006. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Dallas, TX. The record was last updated on Feb 19, 2009.