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Kansas Marie St Clair, FNP
Family Nurse Practitioner in Lubbock, Texas
NPI 1457791824

Kansas Marie St Clair is a Family Nurse Practitioner based in Lubbock, TX and is specialized in Family. Kansas Marie St Clair practices in Lubbock, TX and has the professional credentials of FNP. The NPI Number for Kansas Marie St Clair is 1457791824 and holds a License No. 702520 (Texas).

The current practice location address for Kansas Marie St Clair is 3710 21St St, Lubbock, TX and can be reached out via phone at 806-725-1801 and via fax at 806-723-7535. You can also correspond with Kansas Marie St Clair through the mailing address at 2215 NASHVILLE AVE, LUBBOCK, TX - 79410-1105 (mailing address contact number: 806-725-5844).

Location: 3710 21St St, Lubbock, TX, 79410-1105
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Provider Profile Details
NPI Number
1457791824
Provider Name
Kansas Marie St Clair
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3710 21St St, Lubbock, TX, 79410-1105
Phone Number
806-725-1801
Fax Number
806-723-7535
Provider Enumeration Date
07/01/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8QC171 01 TX BCBS
331227403 05 TX
1T9764 01 TX MEDICARE
66058546 05 NM
1457791824 01 NM BCBS
institution
Provider Business Practice Location Address Details
Address
3710 21St St
City
State
Zip
79410-1220
Phone Number
806-725-1801
Fax Number
806-723-7535
person
Provider Business Mailing Address Details
Address
3710 21St St
City
State
Zip
79410-1220
Phone Number
806-725-1801
Fax Number
806-723-7535
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP123878 (Texas)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Family Health
Taxonomy
License No.
702520 (Texas)
Definition
Definition to come...
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