Individual
CHINA SANTAMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1500 S MAIN ST FL 2, FORT WORTH, TX 76104-4917
(817) 702-3636
Mailing address
5450 CLEARFORK MAIN ST STE 300, FORT WORTH, TX 76109-3514
(817) 334-1400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP145681
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP145681
TX
Other
Enumeration date
02/14/2022
Last updated
08/31/2022
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