Individual
SELINA ANN LEEWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1325 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2158
(817) 778-0777
Mailing address
9901 WANDERING WAY ST, BENBROOK, TX 76126-3150
(817) 602-2775
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP139786
TX
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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