person
Tanya Kidandi
Primary Care Nurse Practitioner in Fort Worth, Texas
NPI 1104294875

Tanya Kidandi is a Primary Care Nurse Practitioner based in Milwaukee, TX and is specialized in Primary Care. Tanya Kidandi practices in Fort Worth, TX. The NPI Number for Tanya Kidandi is 1104294875 and holds a License No. 6586-33 (Texas).

The current practice location address for Tanya Kidandi is 1325 Pennsylvania Ave Ste 560, Fort Worth, TX and can be reached out via phone at 817-250-7240.

Location: 1325 Pennsylvania Ave Ste 560, Fort Worth, TX, 53215-4330
person
Provider Profile Details
NPI Number
1104294875
Provider Name
Tanya Kidandi
Credential
Provider Entity Type
Individual
Gender
Female
Address
1325 Pennsylvania Ave Ste 560, Fort Worth, TX, 53215-4330
Phone Number
817-250-7240
Fax Number
Provider Enumeration Date
09/10/2015
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
1325 Pennsylvania Ave Ste 560
City
State
Zip
76104-2152
Phone Number
817-250-7240
Fax Number
person
Provider Business Mailing Address Details
Address
1325 Pennsylvania Ave Ste 560
City
State
Zip
76104-2152
Phone Number
817-250-7240
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
1030527 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
6586-33 (Wisconsin)
Definition
Definition to come...
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