Individual provider · Type 1 NPI

Vicky Lee Vanburen

Pediatric Nurse Practitioner · Fort Worth, TX

NPI number 1376737403 Active

Practice location

1500 S Main St
Fort Worth, TX 76104-4917

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X680105 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1376737403

Vicky Lee Vanburen's National Provider Identifier is 1376737403, issued on Aug 31, 2007. 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 27, 2011.