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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUDITH JOSE BONIFACIO, RN, MSN, CPNP-PC

Active

JUDITH JOSE BONIFACIO, RN, MSN, CPNP-PC is a Primary Care Nurse Practitioner healthcare provider located in FORT WORTH, Texas. NPI 1629549019 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · FORT WORTH, TX

Registration Details

NPI Number
1629549019
Provider Type
Individual
Gender
Female
NPI Issued
Dec 10, 2018 (7.6846680217383 yrs)
Last Updated
Oct 16, 2023
Licenses
AP138755 (TX)
AP138755 (TX)

Practice Information

Address
1500 W ROSEDALE ST
FORT WORTH, TX, 761047403
Browse TX providers · Browse ZIP 76104
Phone
6828853426
Fax
6828857699
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X
Additional Specialty
Pediatric Nurse Practitioner

Other Primary Care Nurse Practitioner Providers in FORT WORTH, TX

Name Credential NPI
MS. SUNDIE WRIGHT ELLIS APRN, BC, FNP 1245232297
MR. THOMAS W ATKINS APNP 1316990583
JANET M GARBARZ PNP 1497950497
SHANNON R DOUGREY CPNP 1609065093
JENNIFER NANCE CPNP 1770745390
MARY CAROL KISTNER CPNP 1174787345
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.