Ibarra, Mary Taylor
Ibarra, Mary Taylor is an individual health care provider with primary practice located at 1400 S Coulter St , Amarillo TX 79106-1786. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Ibarra, Mary Taylor can be contacted via phone (806) 414-9100.Contact Information
Primary practice address
1400 S Coulter St
Amarillo TX 79106-1786
Phone: (806) 414-9100
Fax: (806) 354-5717
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP132388 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AP132388 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP132388 | Texas |
Profile Details
NPI number | 1194277665 |
---|---|
LBN Legal business name | Ibarra, Mary Taylor |
Credentials | AGACNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 31st, 2016 |
Last updated | Mar 7th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194277665 | NPPES |
Oklahoma | MEDICAID | 200678790 A | |
Oklahoma | MEDICAID | 366677802 | |
Oklahoma | MEDICAID | 366677801 | |
Oklahoma | MEDICAID | 54485525 |
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