NPI 1598052201 · live from the CMS NPI Registry
Patricia L Archilles, CPNP
Nurse Practitioner, Pediatrics in Bedford, TX. National Provider Identifier 1598052201, active.
NPI record
| NPI | 1598052201 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2716 Tibbets Dr, Bedford, TX 76022 |
| Practice phone | 817-571-6644 |
| Mailing address | Po Box 99371, Fort Worth, TX 76199 |
| Enumerated | July 1, 2011 |
| Last updated | April 2, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 248897 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.