Individual
CRYSTAL RENEE HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1250 8TH AVE STE 330, FORT WORTH, TX 76104-4148
(817) 923-5559
(817) 924-3222
Mailing address
P.O. BOX 961205, FOT WORTH, TX 76161-1205
(817) 740-8450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP143315
TX
Other
Enumeration date
09/25/2019
Last updated
10/04/2019
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