Individual provider · Type 1 NPI
Lynn Idell Mogensen, FNP
Family Nurse Practitioner · Fort Worth, TX
NPI number
1093305401
Active
Practice location
2004 Nottingham Blvd
Fort Worth, TX 76112-5229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1025471 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1093305401
Lynn Idell Mogensen, FNP's National Provider Identifier is 1093305401, issued on Jan 20, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 20, 2021.