Provider Demographics
NPI:1588546220
Name:CARRIE'S CRAFT WOUND CARE, PLLC
Entity type:Organization
Organization Name:CARRIE'S CRAFT WOUND CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC, WCC
Authorized Official - Phone:817-201-3424
Mailing Address - Street 1:557 BIG BEND DR
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-2525
Mailing Address - Country:US
Mailing Address - Phone:817-201-3424
Mailing Address - Fax:
Practice Address - Street 1:601 WESTPARK WAY STE 200
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-3972
Practice Address - Country:US
Practice Address - Phone:817-921-1886
Practice Address - Fax:817-768-6424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty