Individual provider · Type 1 NPI

Elise Victoria Balasa, MSN, CPNP-PC

Primary Care Nurse Practitioner · Fort Worth, TX

NPI number 1902634702 Active

Practice location

801 7th Ave
Fort Worth, TX 76104-2733

Fax (682) 885-7499

Mailing address

PO Box 733784
Dallas, TX 75373-3784

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X1169378 (TX)
Primary Care Nurse Practitioner Primary 363LP2300X1169378 (TX)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1902634702

Elise Victoria Balasa, MSN, CPNP-PC's National Provider Identifier is 1902634702, issued on Jul 23, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 11, 2025.