Individual provider · Type 1 NPI

Carly Anne Childs, CPNP

Primary Care Nurse Practitioner · Fort Worth, TX

NPI number 1568124162 Active

Practice location

6421 Mccart Ave
Fort Worth, TX 76133-4702

Fax (817) 423-4140

Mailing address

PO Box 733784
Dallas, TX 75373-3784

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X95018442 (CA)
Primary Care Nurse Practitioner Primary 363LP2300X1189338 (TX)

Primary Care Nurse Practitioner: Definition to come...

13 other providers at this address

Other primary care nurse practitioner providers in Fort Worth

See all in Fort Worth →

About NPI 1568124162

Carly Anne Childs, CPNP's National Provider Identifier is 1568124162, issued on Oct 11, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 15, 2025.