Individual provider · Type 1 NPI

Linda K. Boughton, NP

Pediatric Nurse Practitioner · Fort Worth, TX

NPI number 1699701649 Active

Practice location

1500 S Main St
Fort Worth, TX 76104-4917

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	571139 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1699701649

Linda K. Boughton, NP's National Provider Identifier is 1699701649, issued on Jun 23, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 30, 2012.