Organization · Type 2 NPI
Legacy Healthcare
Gerontology Nurse Practitioner · Arlington, TX
NPI number
1912496985
Active
Practice location
1918 Santa Anna Dr
Arlington, TX 76001-5611
Fax (682) 238-3180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | AG03180006 (TX) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
Other gerontology nurse practitioner providers in Arlington
About NPI 1912496985
Legacy Healthcare's National Provider Identifier is 1912496985, issued on May 5, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Arlington, TX. The record was last updated on May 5, 2018.