MISTIE B. GRANBERRY

FORT WORTH, TX
NPI1639587462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TX  AP125723)
Enumeration Date2014-07-24
Last Update Date2014-07-25
Business Address
-- MISTIE B. GRANBERRY FNP
1250 8TH AVE STE 240
FORT WORTH, TX 76104-4139
Phone number: 817-927-0456
Mailing Address
-- MISTIE B. GRANBERRY FNP
P.O. BOX 961205
FORT WORTH, TX 76161-1205
Phone number: 817-740-8400
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