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NPI Code Detail

MEDICARE: CHARLOTTE DJAABA AMORIN APRN-FNP

MEDICARE: CHARLOTTE DJAABA AMORIN APRN-FNP
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
1363LF0000XFamily Nurse PractitionerAP115762TX
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP115762TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1640737OTHERTXLICENSE
28Y3668OTHERTXBCBSTX

General Provider Information

NPI Number : 1700078169
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLOTTE DJAABA AMORIN APRN-FNP
Provider Business Mailing Address
First Line : 17424 W GRAND PKWY S STE 416
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-2564
Country : US
Telephone Number : 866-488-3103
Fax Number :
Provider Business Practice Location Address
First Line : 3050 POST OAK BLVD STE 510
Second Line :
City : HOUSTON
State : TX
Zip : 77056-6512
Country : US
Telephone Number : 866-488-3103
Fax Number : 866-455-6072
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2007
Last Update Date : 07/25/2025

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