Individual
MRS. LAQUISHA RENEE UMEMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, BSN, RN, CDE
Contact information
Practice address
6725 DERBY DOWNS DR, AUSTIN, TX 78747-3954
(501) 912-7452
Mailing address
6725 DERBY DOWNS DR, AUSTIN, TX 78747-3954
(501) 912-7452
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
896671
TX
163WC1600X
Continuing Education/Staff Development Registered Nurse
896671
TX
163WD0400X
Diabetes Educator Registered Nurse
Primary
896671
TX
174H00000X
Health Educator
—
—
251J00000X
Nursing Care Agency
896671
TX
Other
Enumeration date
10/17/2016
Last updated
12/18/2019
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