Alissa E Redden NNP

NPI 1790042091 - Nurse Practitioner - 363LN0000X

NPI Details
NPI 1790042091
Gender Female
Enumeration Date 04/12/2012
Last Updated 04/12/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
9633 BRAZENDINE DR
FORT WORTH TX, 76244-6023, US
Phone (817) 657-1505
Fax
Business Location
9633 BRAZENDINE DR
FORT WORTH TX, 76244-6023, US
Phone (817) 657-1505
Fax
Toxanomy
Taxonomy Code 363LN0000X
License State Texas
License Number 660991
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According to our database, Mrs. Alissa E Redden NNP NPI is 1790042091, taxonomy code is 363LN0000X and license number is 660991, license state is located at Texas. Alissa E Redden NNP physically located at 9633 Brazendine Dr, Fort Worth TX, 76244-6023. NPI Number Alissa E Redden NNP has the Individual type.

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1790042091 NPI number is provided on an as is basis without warranty of any kind. 1790042091 is maintained by the National Plan & Provider Enumeration System. The contents of Alissa E Redden NNP are for informational purposes only.