Individual
MRS. REBECCA BLOSSOM NEANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
1300 W LANCASTER AVE STE 205, FORT WORTH, TX 76102-3490
(817) 336-8611
(817) 390-2981
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP110428
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP110428
TX
Other
Enumeration date
06/18/2012
Last updated
05/20/2024
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