Individual
MRS. CHRISTINA MECHELLE LARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC, NNP
Contact information
Practice address
DEPT OF NEONATOLOGY, 1301 PENNSYLIVANIA AVENUE, FORT WORTH, TX 76104
(817) 205-2892
Mailing address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 250-2892
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
537125
TX
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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