Individual
MAUREEN NIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2821 E PRESIDENT GEORGE BUSH HWY STE 502, RICHARDSON, TX 75082-4278
(972) 479-5568
(972) 479-5569
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
678633
TX
363L00000X
Nurse Practitioner
Primary
AP143073
TX
363LF0000X
Family Nurse Practitioner
AP143073
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420229301
—
TX
05
—
420229302
—
TX
Enumeration date
08/14/2019
Last updated
05/01/2026
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