MARY DUTCHOVER (NPI# 1154730166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154730166 |
| Entity Type | Individual |
| Full Name | MARY DUTCHOVER |
| Credential | FNP |
| Practice Address |
910 James Bowie Dr New Boston TX 75570-2335 |
| Mailing Address |
919 Hidden Rdg Irving TX 75038-3813 |
| Practice Telephone | 9036145950 |
| Practice Fax Number | 9036145950 |
| Mailing Telephone | 4692822711 |
| Mailing Fax Number | 4692822609 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2015-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP125894 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200616050A | 05 | |
| TX | 350226201 | 05 |
| Street Address |
910 JAMES BOWIE DR |
| City | NEW BOSTON |
| State | TX |
| Zip Code | 75570-2335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437115805 | Mary P Stanley | Nurse Practitioner | 910 James Bowie Dr, New Boston, TX 75570-2335 | 2006-04-25 |
| 1487952834 | Jason D. Mccandless | Physician Assistant | 910 James Bowie Dr, New Boston, TX 75570-2335 | 2011-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350544 | Thomas Miller Coleman IIi | Pharmacist | 409 Ne Front Street, New Boston, TX 75570 | 2020-06-12 |
| 1134630908 | M & B New Boston, LLC | Assisted Living Facility | 1 Autumn Circle, New Boston, TX 75570 | 2017-10-19 |
| 1932578200 | Jamie Linda Martin | Nurse Practitioner | 3899 Tx Hwy-98, New Boston, TX 75570 | 2015-09-17 |
| 1306225073 | Helping Hands Sitter Service, LLC | Technician | 2650 U.S. State Hwy 82 W, New Boston, TX 75570 | 2015-05-27 |
| 1063821825 | Edwin R Sewell | Dentist | 3389 State Hwy 98, New Boston, TX 75570 | 2014-08-06 |
| 1710038708 | Malta Independent School District | Local Education Agency (LEA) | 6178 W. Hwy 82, New Boston, TX 75570 | 2007-01-16 |
| 1316003155 | Jeffrey P Atkinson | Dentist | 119 N Ellis St, New Boston, TX 75570 | 2006-12-28 |
| 1215092325 | Rx Club of America Pllc | Pharmacy | 10 Chapel Lane, New Boston, TX 75570 | 2006-12-27 |
| 1609940436 | Bobby Royce English | Chiropractor | 308 C Hwy 82 West New Boston Chiropractic Center, New Boston, TX 75570 | 2006-11-20 |
| 1124104179 | Danny K Elkins | Pharmacist | 134 Hwy 82 West, New Boston, TX 75570 | 2006-10-31 |
| Find all providers in zip 75570 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194172981 | Moya Tara Talley | Nurse Practitioner | 25140 Austin Dr, New Boston, MI 48164-8907 | 2016-05-21 |
| 1932578200 | Jamie Linda Martin | Nurse Practitioner | 3899 Tx Hwy-98, New Boston, TX 75570 | 2015-09-17 |
| 1720473465 | Tina Cunningham | Nurse Practitioner | 1555 County Road 1102, New Boston, TX 75570-7575 | 2015-03-31 |
| 1386992923 | Sara Marie Mccullough | Nurse Practitioner | 3879 Rhodes Ave, New Boston, OH 45662 | 2012-08-28 |
| 1023166295 | Gail Vanark | Nurse Practitioner | 82 Carriage Rd, New Boston, NH 03070-5137 | 2007-01-06 |
| 1437115805 | Mary P Stanley | Nurse Practitioner | 910 James Bowie Dr, New Boston, TX 75570-2335 | 2006-04-25 |
| 1235126467 | Deborah S Flournoy | Nurse Practitioner | 304 W Us Highway 82, New Boston, TX 75570-2528 | 2005-10-03 |
| 1083616080 | Paul A Smith | Nurse Practitioner | 128 N Ellis St, New Boston, TX 75570-2904 | 2005-08-10 |
| 1649890500 | Kaleigh Cheyenne Cline | Nurse Practitioner | 3879 Rhodes Ave, New Boston, OH 45662-6002 | 2020-04-21 |
| 1508336470 | Christina Wade | Nurse Practitioner | 310 E Hoskins St, New Boston, TX 75570-2727 | 2018-12-04 |
| Find all providers in NEW BOSTON | ||||
| City | NEW BOSTON |
| Zip Code | 75570 |
Please comment or provide details below to improve the information on MARY DUTCHOVER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.