Individual
KATELYN MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1651 W ROSEDALE ST STE 200, FORT WORTH, TX 76104-7437
(817) 335-4316
Mailing address
411 LAKE VIS E, HIGHLAND VILLAGE, TX 75077-6811
(214) 675-5541
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1119118
TX
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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