Individual
MS. NNEKA A NSOFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 927-1467
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 927-1467
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP113033
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
110683
NE
363LN0005X
Critical Care Neonatal Nurse Practitioner
557347
TX
Other
Enumeration date
04/26/2007
Last updated
06/27/2016
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