Individual provider · Type 1 NPI

Emmanuel Etuokwu, AGNP-C, PMHNP-BC

Adult Health Nurse Practitioner · Fort Worth, TX

NPI number 1154897502 Active

Practice location

1300 W Terrell Ave Ste K230
Fort Worth, TX 76104-2820

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XAP139648 (TX)
Adult Health Nurse Practitioner Primary 363LA2200XAP139648 (TX)
Registered Nurse 163W00000X731092 (TX)
Nurse Practitioner 363L00000XAP139648 (TX)
Gerontology Nurse Practitioner 363LG0600XAP139648 (TX)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAP139648 (TX)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1154897502

Emmanuel Etuokwu, AGNP-C, PMHNP-BC's National Provider Identifier is 1154897502, issued on Oct 23, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 2, 2023.