Individual provider · Type 1 NPI
Laci Marie Childers, NP
Family Nurse Practitioner · Dallas, TX
NPI number
1154916880
Active
Practice location
1411 N Beckley Ave, Pavilion III Suite 152
Dallas, TX 75203-1586
Mailing address
1411 N. Beckley Ave, Attn Dmpn
Dallas, TX 75203-1586
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 1047844 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | 1047844 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1154916880
Laci Marie Childers, NP's National Provider Identifier is 1154916880, issued on Mar 4, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Sep 27, 2021.