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

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAG03180006 (TX)

Gerontology Nurse Practitioner: Definition to come...

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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.