Individual
LISA KNEEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, NNP
Contact information
Practice address
1301 PENNSYLVANIA AVE, FT WORTH, TX 76104-2122
(817) 250-2892
Mailing address
204 STANFORD CT, HEATH, TX 75032-6614
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
680269
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
680269
TX
Other
Enumeration date
12/27/2006
Last updated
03/27/2013
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