Individual provider · Type 1 NPI
Braden Chase Willburn, RN
Psychiatric/Mental Health Nurse Practitioner · Fort Worth, TX
NPI number
1033853122
Active
Practice location
601 W Terrell Ave
Fort Worth, TX 76104-3243
Fax (817) 702-4847
Mailing address
1009 Crazy Horse Trail
Burleson, TX 76028
Other practice locations
- 1500 S Main St, Fort Worth, TX 76104-4917 · (817) 702-3431
- 1500 S Main St Fl 10, Fort Worth, TX 76104-4917 · (817) 702-4151
- 1500 S Main St Fl 2, Fort Worth, TX 76104-4917 · (817) 702-3636
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 769503 (TX) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1138350 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1033853122
Braden Chase Willburn, RN's National Provider Identifier is 1033853122, issued on Apr 25, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 19, 2023.