Individual
GWENDOLINE O UGWUIBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
950 W BETHANY DR STE 570, ALLEN, TX 75013-3845
(844) 941-3087
(844) 593-1570
Mailing address
950 W BETHANY DR STE 570, ALLEN, TX 75013-3845
(844) 941-3087
(844) 593-1570
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP136441
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP136441
TX
Other
Enumeration date
04/04/2018
Last updated
02/20/2026
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