Individual provider · Type 1 NPI
Peter Formusoh
Family Nurse Practitioner · Houston, TX
NPI number
1114559325
Active
Practice location
4635 Southwest Fwy Ste 635
Houston, TX 77027-7112
Fax (713) 627-7302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP140067 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | AP140067 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1114559325
Peter Formusoh's National Provider Identifier is 1114559325, issued on Feb 5, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Houston, TX. The record was last updated on Oct 28, 2020.