Individual
CELYA N TILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3825 YUCCA AVE, SUITE NUMBER #129, FORT WORTH, TX 76111-6067
(817) 759-2273
Mailing address
PO BOX 183432, ARLINGTON, TX 76096-3432
(817) 907-5843
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP124789
TX
363LF0000X
Family Nurse Practitioner
Primary
704818
TX
Other
Enumeration date
11/17/2013
Last updated
06/26/2023
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