Individual provider · Type 1 NPI

Leada Omidvar Ghareaghadje

Pediatric Registered Nurse · Fort Worth, TX

NPI number 1669205464 Active

Practice location

801 7th Ave
Fort Worth, TX 76104-2796

Mailing address

4218 Newton Ave Apt E
Dallas, TX 75219-3148

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse Primary 163WP0200X896595 (TX)

Pediatric Registered Nurse: Definition to come...

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About NPI 1669205464

Leada Omidvar Ghareaghadje's National Provider Identifier is 1669205464, issued on Aug 26, 2024. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 26, 2026.