Individual
ADELE B SHYNTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3840 HULEN ST, FORT WORTH, TX 76107
(817) 569-4300
Mailing address
3840 HULEN ST, FORT WORTH, TX 76107-7277
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP139758
TX
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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