Individual provider · Type 1 NPI

Liberty McIntosh

Family Nurse Practitioner · Fort Worth, TX

NPI number 1851997449 Active

Practice location

710 W Leuda St
Fort Worth, TX 76104-3114

Call (817) 702-5958 Map

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1010247 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1851997449

Liberty McIntosh's National Provider Identifier is 1851997449, issued on Dec 8, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 1, 2022.