Ebenkamp, Lori Nicole

Ebenkamp, Lori Nicole is an sole proprietor health care provider with primary practice located at 1915 Mayfield Road #115 , Arlington TX 76014-2605. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Ebenkamp, Lori Nicole can be contacted via phone (682) 276-6700.

Contact Information

Primary practice address
1915 Mayfield Road #115 Arlington TX 76014-2605
Phone: (682) 276-6700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 747314 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP139365 Texas

Profile Details

NPI number 1497225478
LBN Legal business name Ebenkamp, Lori Nicole
Credentials APRN, CPNP-PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2018
Last updated Oct 28th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497225478 NPPES
Texas Other 28150 RX AUTHORIZATION
Texas Other AP139365 RX AUTHORIZATION
Texas Other 747314 RX AUTHORIZATION

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