Individual
BLESSING CORDILIA EGEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 E HWY 67 SUITE 180, DUNCANVILLE, TX 75137
(214) 443-9404
Mailing address
150 E HWY 67 SUITE 180, DUNCANVILLE, TX 75137
(214) 443-9404
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
821680
TX
363LF0000X
Family Nurse Practitioner
AP142979
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP142979
TX
Other
Enumeration date
10/29/2019
Last updated
08/26/2024
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