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NPI Code Detail

MEDICARE: LAURA BRENSTUHL ARPN-CNP

MEDICARE: LAURA BRENSTUHL ARPN-CNP
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
1363LF0000XFamily Nurse Practitioner1218750TX

General Provider Information

NPI Number : 1619831757
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA BRENSTUHL ARPN-CNP
Provider Business Mailing Address
First Line : 10401 TRAIL RIDGE DR
Second Line :
City : BENBROOK
State : TX
Zip : 76126-9534
Country : US
Telephone Number : 910-578-9977
Fax Number :
Provider Business Practice Location Address
First Line : 851 W TERRELL AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3161
Country : US
Telephone Number : 817-332-8346
Fax Number : 817-332-1723
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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