MEDICARE: GRAISHLEY ANNE RAMOS-BELTRAN FNP

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	1206679	TX

General Provider Information

NPI Number	:	1578445250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRAISHLEY ANNE RAMOS-BELTRAN FNP

Provider Business Mailing Address
First Line	:	6016 PINE RIVER LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76179-2110
Country	:	US
Telephone Number	:	267-231-6730
Fax Number	:

Provider Business Practice Location Address
First Line	:	9734 N BEACH ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-6059
Country	:	US
Telephone Number	:	817-379-9937
Fax Number	:

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

Provider Enumeration Date	:	07/23/2025
Last Update Date	:	09/05/2025

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