Mistie Granberry is one of 876 nurse practitioners practicing in Fort Worth, Texas .
Mistie Granberry practices with Healthtexas Provider Network.
Registry record (NPPES)
NPI
1639587462
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner · 363L00000X
Address on file
1250 8th Ave Ste 240
Enumerated
Jul 24, 2014
Record last updated
Jul 25, 2014
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
3124 N Tarrant Pkwy Suite 204Fort Worth , TX 76177
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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