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OFONIME ANTHONY ISOKRARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP-BC

Contact information

Practice address
1325 PENNSYLVANIA AVE STE 890, FORT WORTH, TX 76104-2145
(817) 250-7230
Mailing address
1325 PENNSYLVANIA AVE STE 890, FORT WORTH, TX 76104-2145
(817) 250-7230

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP121805
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2012005262
NURSE PRACTITIONER CERTIFICATION
TX
Enumeration date
07/11/2012
Last updated
03/16/2022
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