Individual
GERALDINE M DISNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN MPH RNC PMHNP
Contact information
Practice address
3115 FORT WORTH HWY, # 200, HUDSON OAKS, TX 76087-8720
(817) 694-4978
(817) 448-9088
Mailing address
3115 FORT WORTH HWY, # 200, HUDSON OAKS, TX 76087-8720
(817) 694-4978
(817) 448-9088
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
235929 (PMHNP)
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
ARNP 9274840
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366443822
NPI
TX
01
—
1467694935
NPI
FL
Enumeration date
08/09/2005
Last updated
07/06/2010
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