Individual provider · Type 1 NPI

Vandana Mall, AGNP

Nurse Practitioner · Fort Worth, TX

NPI number 1306344791 Active

Practice location

1307 8th Ave Ste 506
Fort Worth, TX 76104-4142

Call (817) 332-6092 Map

Fax (817) 332-6015

Mailing address

P.o. Box 961205
Fort Worth, TX 76161-1205

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X802472 (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 1306344791

Vandana Mall, AGNP's National Provider Identifier is 1306344791, issued on Jan 31, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 31, 2018.