Elmquist, Mary Alana

Elmquist, Mary Alana is an individual health care provider with primary practice located at 6700 W 9Th Ave , Amarillo TX 79106-1701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Elmquist, Mary Alana can be contacted via phone (806) 358-0200.

Contact Information

Primary practice address
6700 W 9Th Ave Amarillo TX 79106-1701
Phone: (806) 358-0200
Fax: (806) 356-5590
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP126334 Texas

Profile Details

NPI number 1770766453
LBN Legal business name Elmquist, Mary Alana
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2007
Last updated Nov 16th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770766453 NPPES
Texas Other 881963 MEDICARE
Texas MEDICAID 345016502 MEDICARE

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