Individual
NANCY WALTHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(972) 839-0415
Mailing address
3813 THICKET WAY, MIDLOTHIAN, TX 76065-3869
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
973050
TX
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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