Individual provider · Type 1 NPI
Lisa M. Bashore, PNP
Pediatric Nurse Practitioner · Fort Worth, TX
NPI number
1750522397
Active
Practice location
1500 Cooper St
Fort Worth, TX 76104-2710
Fax (682) 885-4004
Mailing address
PO Box 733784
Dallas, TX 75373-3784
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 673778 (TX) |
Pediatric Nurse Practitioner: Definition to come...
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Other pediatric nurse practitioner providers in Fort Worth
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- Rukhsana Rahmetulla, RN., MSN, CPNPPediatric Nurse Practitioner Fort Worth, TX NPI 1053547158
- Evelyn Louise Hildebrandt, APRNPediatric Nurse Practitioner Fort Worth, TX NPI 1073604591
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About NPI 1750522397
Lisa M. Bashore, PNP's National Provider Identifier is 1750522397, issued on Mar 11, 2009. 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 May 10, 2021.