Individual provider · Type 1 NPI

Anjae Taray Holder

Pediatric Nurse Practitioner · Mansfield, TX

NPI number 1831905694 Active

Practice location

1759 Broad Park Cir S Ste 201
Mansfield, TX 76063-7834

Mailing address

1101 Miramar Ave
Desoto, TX 75115-4816

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X1174771 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1831905694

Anjae Taray Holder's National Provider Identifier is 1831905694, issued on Dec 6, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Mansfield, TX. The record was last updated on Dec 6, 2024.