Organization · Type 2 NPI
Extended Hands Senior Care LLC
Gerontology Nurse Practitioner · Fort Worth, TX
NPI number
1639029580
Active
Practice location
2501 Clovermeadow Dr
Fort Worth, TX 76123-1171
Mailing address
3425 Sycamore School Rd Ste 101
Fort Worth, TX 76123-3030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | None listed |
Gerontology Nurse Practitioner: Definition to come...
Other gerontology nurse practitioner providers in Fort Worth
About NPI 1639029580
Extended Hands Senior Care LLC's National Provider Identifier is 1639029580, issued on Jan 30, 2026. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 5, 2026.