Individual
DOLLY NYARERA NYAMICHABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 OVERTON RIDGE BLVD, FORT WORTH, TX 76132-3614
(817) 361-1991
Mailing address
713 MANCHESTER DR, MANSFIELD, TX 76063-2894
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1121341
TX
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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