Provider Demographics
NPI:1205812385
Name:MEADOWS, PATRICIA CAMILLE (RN FNP)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:CAMILLE
Last Name:MEADOWS
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Gender:F
Credentials:RN FNP
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Mailing Address - Street 1:4800 LAKEWOOD DR STE 5
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-2965
Mailing Address - Country:US
Mailing Address - Phone:254-772-7037
Mailing Address - Fax:254-776-7188
Practice Address - Street 1:1101 WOODED ACRES DR STE 104
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-4695
Practice Address - Country:US
Practice Address - Phone:254-772-7037
Practice Address - Fax:254-776-7188
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2008-05-27
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Provider Licenses
StateLicense IDTaxonomies
TX232506363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ17741Medicare UPIN