Etuokwu, Emmanuel
Etuokwu, Emmanuel is an individual health care provider with primary practice located at 1300 W Terrell Ave Ste K230 , Fort Worth TX 76104-2820. He recently has 6 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Etuokwu, Emmanuel can be contacted via phone (817) 250-4906.Contact Information
Primary practice address
1300 W Terrell Ave Ste K230
Fort Worth TX 76104-2820
Phone: (817) 250-4906
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP139648 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP139648 | Texas |
| Nursing Service Providers / Registered Nurse | 163W00000X | 731092 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP139648 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AP139648 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP139648 | Texas |
Profile Details
| NPI number | 1154897502 |
|---|---|
| LBN Legal business name | Etuokwu, Emmanuel |
| Credentials | AGNP-C, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2018 |
| Last updated | Mar 2nd, 2023 - about last year |
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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