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GERALDINE SARAH NIDDAM RN CPNP-PC NPI 1184203820


NPI Information

NPI: 1184203820
Provider Name: GERALDINE SARAH NIDDAM, RN, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
12221 MERIT DR
DALLAS, TX
ZIP 75251
Phone: (214) 253-8170
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Geraldine Sarah Niddam, RN, CPNP-PC is a pediatrics nurse practitioner in Dallas, TX. Geraldine Sarah Niddam, RN, CPNP-PC NPI is 1184203820. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12221 MERIT DR
DALLAS, TX
ZIP 75251-202
Phone: (214) 253-8170

The enumeration date for this NPI number is 4/7/2021 and was last updated on 4/7/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0200XNurse PractitionerPediatrics1011414TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.