Individual provider · Type 1 NPI

Lisa Diane Mijares, AGNP

Nurse Practitioner · Fort Worth, TX

NPI number 1134513401 Active

Practice location

6844 Harris Parkway
Fort Worth, TX 76132

Fax (817) 263-1118

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XAP127690 (TX)
Gerontology Nurse Practitioner 363LG0600XAP127690 (TX)
Nurse Practitioner Primary 363L00000XAP127690 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1134513401

Lisa Diane Mijares, AGNP's National Provider Identifier is 1134513401, issued on Mar 25, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 30, 2023.