Individual provider · Type 1 NPI
Clara Formusoh, NP
Family Nurse Practitioner · Fort Worth, TX
NPI number
1023406576
Active
Practice location
1300 W Terrell Ave Ste K230
Fort Worth, TX 76104-2820
Fax (817) 250-1815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP127181 (TX) |
Family Nurse Practitioner: Definition to come...
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Other family nurse practitioner providers in Fort Worth
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About NPI 1023406576
Clara Formusoh, NP's National Provider Identifier is 1023406576, issued on Jan 7, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 17, 2016.