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Judith Jose Bonifacio, RN,MSN,CPNP-PC
Pediatric Nurse Practitioner in Fort Worth, Texas
NPI 1629549019

Judith Jose Bonifacio is a Pediatric Nurse Practitioner based in Dallas, TX and is specialized in Pediatrics. Judith Jose Bonifacio practices in Fort Worth, TX and has the professional credentials of RN,MSN,CPNP-PC. The NPI Number for Judith Jose Bonifacio is 1629549019 and holds a License No. AP138755 (Texas).

The current practice location address for Judith Jose Bonifacio is 1500 W Rosedale St, Fort Worth, TX and can be reached out via phone at 682-885-3426 and via fax at 682-885-7699.

Location: 1500 W Rosedale St, Fort Worth, TX, 75373-3784
person
Provider Profile Details
NPI Number
1629549019
Provider Name
Judith Jose Bonifacio
Credential
RN,MSN,CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
1500 W Rosedale St, Fort Worth, TX, 75373-3784
Phone Number
682-885-3426
Fax Number
682-885-7699
Provider Enumeration Date
12/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1500 W Rosedale St
City
State
Zip
76104-7403
Phone Number
682-885-3426
Fax Number
682-885-7699
person
Provider Business Mailing Address Details
Address
1500 W Rosedale St
City
State
Zip
76104-7403
Phone Number
682-885-3426
Fax Number
682-885-7699
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
AP138755 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
AP138755 (Texas)
Definition
Definition to come...
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