Individual provider · Type 1 NPI
Denise Ann Pack, NP
Gerontology Nurse Practitioner · Dallas, TX
NPI number
1124732185
Active
Practice location
13140 Coit Rd Ste 315
Dallas, TX 75240-5753
Fax (972) 777-9896
Mailing address
12801 Parkersburg Dr
Fort Worth, TX 76244-5719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 1105740 (TX) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1124732185
Denise Ann Pack, NP's National Provider Identifier is 1124732185, issued on Jan 12, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Dallas, TX. The record was last updated on Feb 10, 2025.