Individual
LISA GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
750 8TH AVE STE 200, FORT WORTH, TX 76104-2500
(682) 885-2170
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1009151
TX
Other
Enumeration date
09/23/2020
Last updated
04/06/2021
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