Individual provider · Type 1 NPI

Petya Taskov

Family Nurse Practitioner · Fort Worth, TX

NPI number 1609257534 Active

Practice location

1325 Pennsylvania Ave Ste 890
Fort Worth, TX 76104-2145

Mailing address

1617 Hemphill St
Fort Worth, TX 76104-4709

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP 128272 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1609257534

Petya Taskov's National Provider Identifier is 1609257534, issued on Jun 16, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Worth, TX. The record was last updated on Nov 14, 2022.