Provider Demographics
NPI:1790266716
Name:ADUMANU-FINTAN, DOROTHY IJEOMA (FNP)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:IJEOMA
Last Name:ADUMANU-FINTAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:DOROTHY
Other - Middle Name:IJEOMA
Other - Last Name:ADUMANU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:3110 DOGWOOD KNOLL TRL
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-6700
Mailing Address - Country:US
Mailing Address - Phone:281-726-1790
Mailing Address - Fax:
Practice Address - Street 1:3110 DOGWOOD KNOLL TRL
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-6700
Practice Address - Country:US
Practice Address - Phone:281-726-1790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137853363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily