Krista L Rettig CPNP

NPI 1710182761 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1710182761
Gender Female
Enumeration Date 06/19/2007
Last Updated 12/17/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1500 COOPER ST
FORT WORTH TX, 76104-2710, US
Phone (682) 885-2500
Fax (682) 885-2510
Business Location
PO BOX 99371
FORT WORTH TX, 76199-0371, US
Phone (682) 885-1855
Fax (682) 885-7347
Toxanomy
Taxonomy Code 363LP0200X
License State Texas
License Number 629354
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According to our database, Krista L Rettig CPNP NPI is 1710182761, taxonomy code is 363LP0200X and license number is 629354, license state is located at Texas. Krista L Rettig CPNP physically located at 1500 Cooper St, Fort Worth TX, 76104-2710. NPI Number Krista L Rettig CPNP has the Individual type.

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1710182761 NPI number is provided on an as is basis without warranty of any kind. 1710182761 is maintained by the National Plan & Provider Enumeration System. The contents of Krista L Rettig CPNP are for informational purposes only.