Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 860557 | TX |
NPI | 1275295347 |
---|---|
Provider Name | Kara Kaiser |
First Address | Arlington, TX 76012-5762 |
Second Address | Fort Worth, TX 76104-4110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2021 |
Last Update Date | 06/10/2021 |