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Lilly Rukayetu Omorogbe, APRN
Family Nurse Practitioner in Fort Worth, Texas
NPI 1447739297

Lilly Rukayetu Omorogbe is a Family Nurse Practitioner based in Mansfield, TX and is specialized in Family. Lilly Rukayetu Omorogbe practices in Fort Worth, TX and has the professional credentials of APRN. The NPI Number for Lilly Rukayetu Omorogbe is 1447739297 and holds a License No. AP138086 (Texas).

The current practice location address for Lilly Rukayetu Omorogbe is 1301 Pennsylvania Ave, Fort Worth, TX and can be reached out via phone at 817-250-3750.

Location: 1301 Pennsylvania Ave, Fort Worth, TX, 76063-3287
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447739297
Provider Name
Lilly Rukayetu Omorogbe
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1301 Pennsylvania Ave, Fort Worth, TX, 76063-3287
Phone Number
817-250-3750
Fax Number
Provider Enumeration Date
08/13/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP138086 01 TX TEXAS BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
1301 Pennsylvania Ave
City
Fort Worth
State
Texas
Zip
76104-2122
Phone Number
817-250-3750
Fax Number
person
Provider Business Mailing Address Details
Address
1301 Pennsylvania Ave
City
Fort Worth
State
Texas
Zip
76104-2122
Phone Number
817-250-3750
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP138086 (Texas)
Definition
Definition to come...
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