Latasha Dwan Vines, RN, FNP

NPI #1972901213 in Mansfield, Texas

Provider Information

NPI Number
1972901213
Entity Type
Individual
Name
Latasha Dwan Vines, RN, FNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
RN, FNP
Enumeration Date
Dec 19, 2014
Last Updated
Jun 24, 2020

Practice Location

Address
1754 BROAD PARK CIRCLE N
State
Texas
ZIP Code
76063
Phone
(817) 225-2718

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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