Individual
MISS CARLY ANNE CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
6421 MCCART AVE, FORT WORTH, TX 76133-4702
(817) 263-7500
(817) 423-4140
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
95018442
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
1189338
TX
Other
Enumeration date
10/11/2021
Last updated
07/15/2025
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