Individual
PATRICIA JEAN CARBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN NNP
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 927-6259
(817) 922-2512
Mailing address
3049 KERI LN, MIDLOTHIAN, TX 76065-6609
(972) 775-2253
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
532711
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
523711
RN NNP BNE #
TX
Enumeration date
08/01/2006
Last updated
07/08/2007
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