Individual provider · Type 1 NPI

Rae Leen Hannah-Lyon, AGACNP-BC

Acute Care Nurse Practitioner · Fort Worth, TX

NPI number 1619499241 Active

Practice location

1500 S Main St
Fort Worth, TX 76104-4917

Call (817) 702-5553 Map

Mailing address

1412 May St
Fort Worth, TX 76104-7639

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	AP134481 (TX)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1619499241

Rae Leen Hannah-Lyon, AGACNP-BC's National Provider Identifier is 1619499241, issued on Jul 14, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 1, 2018.