Individual
ANDREA EPPERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
219 S MAIN ST, FORT WORTH, TX 76104
(817) 265-0900
Mailing address
219 S MAIN ST, FORT WORTH, TX 76104-1224
(817) 265-0900
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
207314
TX
Other
Enumeration date
03/13/2018
Last updated
07/09/2018
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