Individual provider · NPI-1

Julianne N Anderson, PNP

Nurse Practitioner, Pediatrics · Fort Worth, TX

NPI number1043548860
StatusActive
Last updated in NPPESJan 4, 2022

Details

NPI
1043548860
Entity type
Individual (NPI-1)
Name
Julianne N Anderson
Credential
PNP
Sex
Female
Sole proprietor
No
Enumeration date
Dec 7, 2009
Certification date
Jan 4, 2022
Last updated
Jan 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics718317TXYes

Practice location

801 7th Ave
Fort Worth, TX 76104-2733

Phone 682-885-4054 · Fax 682-885-7497

Mailing address

Po Box 733784
Dallas, TX 75373-3784

Phone 682-885-1855 · Fax 682-885-1396

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