Individual
DORA LUZ TIRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
320 DECKER DR, IRVING, TX 75062-3999
(561) 707-3359
Mailing address
4281 WEYMOUTH ST, LAKE WORTH, FL 33461-2745
(561) 707-3359
(844) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11002376
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11002376
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP141737
TX
363LP2300X
Primary Care Nurse Practitioner
AP141737
TX
Other
Enumeration date
05/10/2019
Last updated
03/13/2024
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