Abam, Adeline Etoghe

Abam, Adeline Etoghe is an individual health care provider with primary practice located at 3840 Hulen St , Fort Worth TX 76107-7277. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Abam, Adeline Etoghe can be contacted via phone (817) 335-3022.

Contact Information

Primary practice address
3840 Hulen St Fort Worth TX 76107-7277
Phone: (817) 335-3022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP129503 Texas
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 786779 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 786779 Texas

Profile Details

NPI number 1902277056
LBN Legal business name Abam, Adeline Etoghe
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2015
Last updated May 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902277056 NPPES
Texas Other 8450NS BCBS

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