Individual
CHELSEA EIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6464 JOHN RYAN DR, FORT WORTH, TX 76132-4239
(817) 276-8063
(817) 346-7703
Mailing address
6464 JOHN RYAN DR, FORT WORTH, TX 76132-4239
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP133477
TX
Other
Enumeration date
03/18/2017
Last updated
09/27/2023
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