Individual
AKHERE ISENALUMHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
3012 FAIRVIEW DR, GRAND PRAIRIE, TX 75052-0443
(972) 533-5136
Mailing address
3012 FAIRVIEW DR, GRAND PRAIRIE, TX 75052-0443
(972) 533-5136
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1096401
TX
Other
Enumeration date
02/01/2023
Last updated
02/07/2023
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