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Lisa Marie Moreland, APRN, PNP-AC

Nurse Practitioner, Acute Care in Fort Worth, TX. Individual provider (NPI-1).

NPI number1245050996
StatusActive
Last updated in NPPESFeb 18, 2025

Details

NPI
1245050996
Entity type
Individual (NPI-1)
Name
Lisa Marie Moreland
Credential
APRN, PNP-AC
Sex
Female
Sole proprietor
No
Enumeration date
Oct 16, 2024
Certification date
Feb 18, 2025
Last updated
Feb 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2100X Nurse Practitioner, Acute Care1178796TXYes

Practice location

1500 Cooper St
Fort Worth, TX 76104-2710

Phone 682-885-2140 · Fax 817-332-2506

Mailing address

Po Box 733784
Dallas, TX 75373-3784

Phone 682-885-6483 · Fax 682-885-3113

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