COURTNEY IBARRA


Address: 6740 Wayman Rdg, Live Oak, TX 78233-5469
Phone: 2103819232

COURTNEY IBARRA (NPI# 1417576448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417576448
Entity Type Individual
Full Name COURTNEY IBARRA
Credential MSN, FNP-C, APRN
Practice Address 6740 Wayman Rdg
Live Oak
TX 78233-5469
Mailing Address 7585 Kitty Hawk Ste 201
Converse
TX 78109-2820
Practice Telephone 2103819232
Enumeration Date 2020-04-09
Last Update Date 2020-04-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
API144066 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6740 WAYMAN RDG
City LIVE OAK
State TX
Zip Code 78233-5469

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City LIVE OAK
Zip Code 78233

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Dataset Information

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.

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