MEDICARE: MRS. SHILLOY CHRISTINE HART APRN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP130295	TX

General Provider Information

NPI Number	:	1184085714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHILLOY CHRISTINE HART APRN, FNP-BC

Provider Business Mailing Address
First Line	:	13737 NOEL RD STE 1600
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-1374
Country	:	US
Telephone Number	:	214-217-1991
Fax Number	:

Provider Business Practice Location Address
First Line	:	3051 S CENTER ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76014-2023
Country	:	US
Telephone Number	:	817-468-1818
Fax Number	:	817-468-4775

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2016
Last Update Date	:	05/04/2022

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