| NPI | 1255787941 |
|---|---|
| Other Name | MHHCS AT CARGILL FORT WORTH |
| Entity Type | Organization |
| Authorized Contact | NANCY CARLSON President 802-857-0400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2020-12-09 |