Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 07854 | TX |
NPI | 1073821500 |
---|---|
Provider Name | Mrs. April A Tolbert |
First Address | Ft Worth, TX 76111-6067 |
Second Address | Ft Worth, TX 76111-6067 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2010 |
Last Update Date | 10/11/2011 |