# MRS. LINDA SEVIDZEM MBANG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1568191252
- **Gender:** F
- **Credential:** MSN, APRN, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 886256 | TX | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1096937 | TX | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 279587 | AZ | — |

## Other

- **Enumeration date:** 06/07/2022
- **Last updated:** 02/02/2024