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Organization
SHOWPATHWAY MENTAL AND WELLNESS SERVICES PLLC
Active
Organization
SHOWPATHWAY MENTAL AND WELLNESS SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YETUNDE FADEYIBI APRN/ PMHNP (NURSE PRACTITIONER)
(406) 296-6469
Entity
Organization
Contact information
Practice address
5900 BALCONES DR # 17066, AUSTIN, TX 78731-4257
(406) 296-6469
(832) 862-3414
Mailing address
5900 BALCONES DR # 17066, AUSTIN, TX 78731-4257
(406) 296-6469
(832) 862-3414
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
02/18/2024
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