Pemberton, Carmen Loren

Pemberton, Carmen Loren is an individual health care provider with primary practice located at 1245 S Main St , Grapevine TX 76051-7518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Pemberton, Carmen Loren can be contacted via phone (817) 301-0922.

Contact Information

Primary practice address
1245 S Main St Grapevine TX 76051-7518
Phone: (817) 301-0922
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 590614 Texas

Profile Details

NPI number 1407140916
LBN Legal business name Pemberton, Carmen Loren
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2011
Last updated Jun 1st, 2011 - about 13 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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