MS. MAYRA CRUZ KOEDAM FNP-C NPI 1346695178

NPI Information

NPI: 1346695178
Provider Name: MS. MAYRA CRUZ KOEDAM, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
8160 WALNUT HILL LN STE 306
DALLAS, TX
ZIP 75231
Phone: (214) 345-8060
Get Directions

MS. Mayra Cruz Koedam, FNP-C is a family nurse practitioner in Dallas, TX. MS. Mayra Cruz Koedam, FNP-C NPI is 1346695178. 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:

8160 WALNUT HILL LN STE 306
DALLAS, TX
ZIP 75231-391
Phone: (214) 345-8060
Fax: (214) 345-8229

The enumeration date for this NPI number is 4/29/2016 and was last updated on 6/13/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AP130975	TEXAS	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »