Individual
TANYA DENISE LAIB-SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1400 S MAIN ST STE 403, FORT WORTH, TX 76104-4913
(817) 702-1100
(817) 335-1805
Mailing address
1412 MAY ST, FORT WORTH, TX 76104-7639
(817) 702-2450
(817) 702-8445
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP135704
TX
Other
Enumeration date
01/11/2018
Last updated
03/27/2020
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