Individual provider · Type 1 NPI

Diane Jean Erazo, APRN, CPNP-PC

Pediatric Nurse Practitioner · Fort Worth, TX

NPI number 1114602208 Active

Practice location

801 7th Ave
Fort Worth, TX 76104-2733

Call (817) 614-0458 Map

Mailing address

200 Village Creek Pkwy Apt 2115
Burleson, TX 76028-3558

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	1089858 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1114602208

Diane Jean Erazo, APRN, CPNP-PC's National Provider Identifier is 1114602208, issued on Jun 16, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 16, 2023.