Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | AP113033 | TX |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 110683 | NE |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 557347 | TX |
NPI | 1063632578 |
---|---|
Provider Name | Ms. Nneka A Nsofor |
First Address | Fort Worth, TX 76104-4917 |
Second Address | Fort Worth, TX 76104-4917 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 27/06/2016 |