Individual
SHELMITH MAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2770 MAIN ST STE 211, FRISCO, TX 75033-4439
(469) 618-5703
Mailing address
2770 MAIN ST STE 211, FRISCO, TX 75033-4439
(469) 618-5703
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP126843
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092683
—
AZ
01
—
233336
LICENSE
AZ
Enumeration date
12/02/2014
Last updated
09/21/2023
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