MEDICARE: DR. RICHARD W. ORNBERG DNP, APRN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1028563	TX

General Provider Information

NPI Number	:	1255922936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD W. ORNBERG DNP, APRN, FNP-C

Provider Business Mailing Address
First Line	:	6148 PROSPECT AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-3932
Country	:	US
Telephone Number	:	214-519-4561
Fax Number	:

Provider Business Practice Location Address
First Line	:	4004 WORTH ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-1607
Country	:	US
Telephone Number	:	214-623-6830
Fax Number	:	214-623-6807

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2021
Last Update Date	:	11/30/2022

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Directions to “ DR. RICHARD W. ORNBERG DNP, APRN, FNP-C” Practice Location

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