Provider Demographics
NPI:1174548390
Name:CASE, DENISE CAROLE (NP)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:CAROLE
Last Name:CASE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:205 OAKLAND HILLS DR
Mailing Address - Street 2:
Mailing Address - City:GRAFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76449-5066
Mailing Address - Country:US
Mailing Address - Phone:940-779-4344
Mailing Address - Fax:
Practice Address - Street 1:1325 PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 740
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2158
Practice Address - Country:US
Practice Address - Phone:817-250-5422
Practice Address - Fax:817-250-5425
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX734833363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care