person
Latasha Dwan Vines, RN,FNP
Family Nurse Practitioner in Mansfield, Texas
NPI 1972901213

Latasha Dwan Vines is a Family Nurse Practitioner based in Mansfield, TX and is specialized in Family. Latasha Dwan Vines practices in Mansfield, TX and has the professional credentials of RN,FNP. The NPI Number for Latasha Dwan Vines is 1972901213 and holds a License No. 1922 (Texas).

The current practice location address for Latasha Dwan Vines is 1754 Broad Park Circle N, Mansfield, TX and can be reached out via phone at 817-225-2718 and via fax at 817-225-2771.

Location: 1754 Broad Park Circle N, Mansfield, TX, 76063-3855
person
Provider Profile Details
NPI Number
1972901213
Provider Name
Latasha Dwan Vines
Credential
RN,FNP
Provider Entity Type
Individual
Gender
Female
Address
1754 Broad Park Circle N, Mansfield, TX, 76063-3855
Phone Number
817-225-2718
Fax Number
817-225-2771
Provider Enumeration Date
12/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1754 Broad Park Circle N
City
State
Zip
76063
Phone Number
817-225-2718
Fax Number
817-225-2771
person
Provider Business Mailing Address Details
Address
1754 Broad Park Circle N
City
State
Zip
76063
Phone Number
817-225-2718
Fax Number
817-225-2771
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1922 (Minnesota)
Definition
Definition to come...
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