Provider Demographics
NPI:1952664328
Name:AWUOR, GAUDENSIA (FNP)
Entity Type:Individual
Prefix:
First Name:GAUDENSIA
Middle Name:
Last Name:AWUOR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 E LAMAR BLVD
Mailing Address - Street 2:APT 59
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-4347
Mailing Address - Country:US
Mailing Address - Phone:817-903-7723
Mailing Address - Fax:
Practice Address - Street 1:5500 N MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-2603
Practice Address - Country:US
Practice Address - Phone:972-518-1325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX737819363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily