Individual
CHARLOTTE LAWRENTA FATIREGUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
221 HIDDEN LAKE DR, PROSPER, TX 75078-8705
(646) 261-6656
(866) 640-1580
Mailing address
221 HIDDEN LAKE DR, PROSPER, TX 75078-8705
(646) 261-6656
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1012433
TX
Other
Enumeration date
09/12/2020
Last updated
09/12/2020
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