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NPI Code Detail

MEDICARE: GAUDENSIA AWUOR FNP

MEDICARE: GAUDENSIA AWUOR 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 Practitioner737819TX

General Provider Information

NPI Number : 1952664328
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAUDENSIA AWUOR FNP
Provider Business Mailing Address
First Line : 1100 E LAMAR BLVD
Second Line : APT 59
City : ARLINGTON
State : TX
Zip : 76011-4347
Country : US
Telephone Number : 817-903-7723
Fax Number :
Provider Business Practice Location Address
First Line : 5500 N MACARTHUR BLVD
Second Line :
City : IRVING
State : TX
Zip : 75038-2603
Country : US
Telephone Number : 972-518-1325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2012
Last Update Date : 06/20/2012

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Directions to “ GAUDENSIA AWUOR FNP” Practice Location

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