Edoghogho Stacy Edosonmwan, RN

Nurse practitioner in Fort Worth, Texas · NPI 1356808901

Edoghogho Edosonmwan is one of 876 nurse practitioners practicing in Fort Worth, Texas. Edoghogho Edosonmwan practices with Dallas County Mental Health And Mental Retardation Center and Nasa Psychiatric Care LLC.

Registry record (NPPES)

NPI
1356808901
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Psychiatric/Mental Health · 363LP0808X
Address on file
1428 E Arlington Ave
Fort Worth, TX 76104-6124
(469) 442-9930
Enumerated
Mar 1, 2019
Record last updated
Sep 3, 2026
License states listed
LA, TX

Medicare (CMS)

Enrollment
Medicare-enrolled in LA, TX
Nurse Practitioner
Revalidation due
No date set by CMS

The registry stops here. NPivot keeps going.

  • Part D prescribing
  • Procedure volumes by CPT code
  • Group affiliations and colleagues
  • Full enrollment history
See the full profile free Free account. No card, no call.

Practice locations

More nurse practitioners in Fort Worth

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.