Individual provider · Type 1 NPI

Latasha Dwan Vines, RN, FNP

Family Nurse Practitioner · Mansfield, TX

NPI number 1972901213 Active

Practice location

1754 Broad Park Circle N
Mansfield, TX 76063

Call (817) 225-2718 Map

Fax (817) 225-2771

Mailing address

2200 Matlock Rd
Mansfield, TX 76063-3855

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X1922 (MN)
Family Nurse Practitioner Primary 363LF0000XAP127627 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1972901213

Latasha Dwan Vines, RN, FNP's National Provider Identifier is 1972901213, issued on Dec 19, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mansfield, TX. The record was last updated on Jun 24, 2020.