Fate, Ann

Fate, Ann is an individual health care provider with primary practice located at 520 Douglas Blvd , Tyler TX 75702-8307. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fate, Ann can be contacted via phone (903) 593-1721.

Contact Information

Primary practice address
520 Douglas Blvd Tyler TX 75702-8307
Phone: (903) 593-1721
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 661964 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP124442 Texas

Profile Details

NPI number 1518396803
LBN Legal business name Fate, Ann
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2013
Last updated May 28th, 2019 - about 5 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 1518396803 NPPES
Texas Other 772093 MEDICARE
Texas Other 75-2616977-007 MEDICARE
Texas Other 8066NF MEDICARE
Texas MEDICAID 330328102 MEDICARE
Texas Other P01290912 MEDICARE
Texas MEDICAID 330328101 MEDICARE

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