Individual provider · Type 1 NPI
Edoghogho Stacy Edosonmwan, RN
Psychiatric/Mental Health Nurse Practitioner · Fort Worth, TX
NPI number
1356808901
Active
Practice location
1428 E Arlington Ave
Fort Worth, TX 76104-6124
Other practice locations
- 201 Amanda Ln Ste 100, Waxahachie, TX 75165-1391 · (469) 523-2646
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 230297 (LA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1116542 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1356808901
Edoghogho Stacy Edosonmwan, RN's National Provider Identifier is 1356808901, issued on Mar 1, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 3, 2026.