Healthcare Provider Details

I. General information

NPI: 1578148219
Provider Name (Legal Business Name): NORMA GUERRERO NAVARRO CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2021
Last Update Date: 03/01/2022
Certification Date: 03/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 FLORIDA DR
ARLINGTON TX
76015-2378
US

IV. Provider business mailing address

1230 FLORIDA DR
ARLINGTON TX
76015-2378
US

V. Phone/Fax

Practice location:
  • Phone: 817-277-1329
  • Fax:
Mailing address:
  • Phone: 817-277-1329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1023529
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: