MARY WILLMON CPNP NPI 1477918407

NPI Information

NPI: 1477918407
Provider Name: MARY WILLMON, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1500 COOPER ST
FORT WORTH, TX
ZIP 76104
Phone: (682) 885-2140
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Mary Willmon, CPNP is a pediatrics nurse practitioner in Fort Worth, TX. Mary Willmon, CPNP NPI is 1477918407. 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:

1500 COOPER ST
FORT WORTH, TX
ZIP 76104-710
Phone: (682) 885-2140
Fax: (817) 332-2506

The NPI 1477918407 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/17/2015 and was last updated on 12/17/2015.

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	363LP0200X	Nurse Practitioner	Pediatrics	814247	TEXAS	Yes

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

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