Provider Demographics
NPI:1437615861
Name:NARTEY, PRINCE CHARLES (RN)
Entity Type:Individual
Prefix:
First Name:PRINCE
Middle Name:CHARLES
Last Name:NARTEY
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8700 CALMONT AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-2834
Mailing Address - Country:US
Mailing Address - Phone:940-337-2720
Mailing Address - Fax:
Practice Address - Street 1:8700 CALMONT AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-2851
Practice Address - Country:US
Practice Address - Phone:940-337-2720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93259163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse