Individual provider · Type 1 NPI
Phyllis Jean Larue, NP
Family Nurse Practitioner · Pampa, TX
NPI number
1912300286
Active
Practice location
1995 Helton Rd
Pampa, TX 79065-9655
Fax (806) 661-4410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP110267 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1912300286
Phyllis Jean Larue, NP's National Provider Identifier is 1912300286, issued on Oct 1, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pampa, TX. The record was last updated on Oct 1, 2014.