Individual
MS. LYNNE C POMPETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC CNS
Contact information
Practice address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 569-4555
(817) 569-4745
Mailing address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 569-4555
(817) 569-4745
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN112506 AP04739
LA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
579730
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MEDICARE 8L26312
MEDICARE
TX
Enumeration date
04/26/2006
Last updated
02/04/2016
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