Individual
MRS. CLEMENTINA ADAKU OGWUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN-NP-C
Contact information
Practice address
809 W HARWOOD RD STE 202, HURST, TX 76054-6233
(817) 377-0143
(888) 750-8159
Mailing address
PO BOX 734875, DALLAS, TX 75373-4875
(817) 377-0143
(888) 750-8159
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
716565
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP13002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP130022
BOARD OF NURSING
TX
Enumeration date
02/22/2008
Last updated
08/25/2022
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