Individual provider · Type 1 NPI
Staci Gottlieb, RN, MSN, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Fort Worth, TX
NPI number
1699052555
Active
Practice location
901 7th Ave, Suite 230
Fort Worth, TX 76104-2722
Fax (682) 885-7572
Mailing address
PO Box 99371
Fort Worth, TX 76199-0371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 741675 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1699052555
Staci Gottlieb, RN, MSN, PMHNP's National Provider Identifier is 1699052555, issued on Nov 7, 2011. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 29, 2016.