Individual provider · Type 1 NPI

Kelli Melissa Brazzel, RN

Pediatric Registered Nurse · Fort Worth, TX

NPI number 1104636042 Active

Practice location

1500 Cooper St
Fort Worth, TX 76104-2710

Call (682) 885-3953 Map

Fax (682) 885-7445

Mailing address

801 7th Ave
Fort Worth, TX 76104-2796

Specialties and licenses

Taxonomy	Code	License
Pediatric Registered Nurse Primary	163WP0200X	581606 (TX)

Pediatric Registered Nurse: Definition to come...

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About NPI 1104636042

Kelli Melissa Brazzel, RN's National Provider Identifier is 1104636042, issued on Jan 13, 2025. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 13, 2025.