Lissa Anne Goble DNP, CNM

NPI 1710387576 - Advanced Practice Midwife - 367A00000X

NPI Details
NPI 1710387576
Gender Female
Enumeration Date 08/29/2014
Last Updated 08/29/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
622 HEMPHILL ST
FORT WORTH TX, 76104-3179, US
Phone (817) 878-2737
Fax
Business Location
622 HEMPHILL ST
FORT WORTH TX, 76104-3179, US
Phone (817) 878-2737
Fax
Toxanomy
Taxonomy Code 367A00000X
License State Texas
License Number AP126186
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According to our database, Lissa Anne Goble DNP, CNM NPI is 1710387576, taxonomy code is 367A00000X and license number is AP126186, license state is located at Texas. Lissa Anne Goble DNP, CNM physically located at 622 Hemphill St, Fort Worth TX, 76104-3179. NPI Number Lissa Anne Goble DNP, CNM has the Individual type.

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1710387576 NPI number is provided on an as is basis without warranty of any kind. 1710387576 is maintained by the National Plan & Provider Enumeration System. The contents of Lissa Anne Goble DNP, CNM are for informational purposes only.