Individual
MISS RUKHSANA RAHMETULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN., MSN, CPNP
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-4007
(682) 885-3914
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
2009011662
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
AP107520
TX
Other
Enumeration date
06/03/2009
Last updated
01/25/2023
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