Individual
ASHLEY CAITLAN LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-PC
Contact information
Practice address
3200 RIVERFRONT DR STE 103, FORT WORTH, TX 76107-6560
(817) 336-3800
(817) 335-9454
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
1087098
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1087098
TX
Other
Enumeration date
07/11/2022
Last updated
04/22/2024
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