Individual provider · NPI-1

Becky Wightman Althaus, RN, PH.D., CGC

Nurse Practitioner, Pediatrics · Fort Worth, TX

NPI number1730168501
StatusActive
Last updated in NPPESMay 10, 2021

Details

NPI
1730168501
Entity type
Individual (NPI-1)
Name
Becky Wightman Althaus
Credential
RN, PH.D., CGC
Sex
Female
Sole proprietor
No
Enumeration date
Jan 11, 2006
Certification date
May 10, 2021
Last updated
May 10, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsAP121066TXYes
170300000X Genetic Counselor, MS270.1006TX
363LF0000X Nurse Practitioner, Family230870TX

Other names

  • Rebecca Wightman Althaus (Other Name)

Practice location

750 8th Ave Ste 200
Fort Worth, TX 76104-2500

Phone 682-885-2170 · Fax 817-335-8277

Mailing address

Po Box 733784
Dallas, TX 75373-3784

Phone 682-885-1855 · Fax 682-885-1396

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