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Ronald Sturdivan, NP
Family Nurse Practitioner in Fort Worth, Texas
NPI 1104570910

Ronald Sturdivan is a Family Nurse Practitioner based in Fort Worth, TX and is specialized in Family. Ronald Sturdivan practices in Fort Worth, TX and has the professional credentials of NP. The NPI Number for Ronald Sturdivan is 1104570910 and holds a License No. 22739736 (Texas).

The current practice location address for Ronald Sturdivan is 1500 S Main St, Fort Worth, TX and can be reached out via phone at 817-702-1451.

Location: 1500 S Main St, Fort Worth, TX, 76104-4917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104570910
Provider Name
Ronald Sturdivan
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1500 S Main St, Fort Worth, TX, 76104-4917
Phone Number
817-702-1451
Fax Number
Provider Enumeration Date
02/10/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22739736 01 TX TEXAS BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
1500 S Main St
City
Fort Worth
State
Texas
Zip
76104-4917
Phone Number
817-702-1451
Fax Number
person
Provider Business Mailing Address Details
Address
1500 S Main St
City
Fort Worth
State
Texas
Zip
76104-4917
Phone Number
817-702-1451
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
22739736 (Texas)
Definition
Definition to come...
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