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Contact Information

ADVANCEDNP
6649 N RIVERSIDE DR
FORT WORTH, TX76137-6640
 Phone: 817-847-1860
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for ADVANCEDNP · (Female)

NPI # 1528944477
Status Active
Credentials
Entity Individual
Enumeration date 08/14/2025
Last updated 09/19/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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