Individual
ANGELINA FUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
3101 W 6TH ST # 471234, FT WORTH, TX 76107-2778
(682) 325-7425
Mailing address
3101 W 6TH ST # 471234, FT WORTH, TX 76107-2778
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1046948
TX
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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