Individual provider · Type 1 NPI
Samuel Rude, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Fort Worth, TX
NPI number
1861325938
Active
Practice location
6421 Camp Bowie Blvd Ste 200
Fort Worth, TX 76116-5420
Mailing address
6313 Kingswood Dr
Fort Worth, TX 76133-3517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1250356 (TX) |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 884182 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1861325938
Samuel Rude, PMHNP's National Provider Identifier is 1861325938, issued on Jun 8, 2026. 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 Sep 28, 2026.