Organization
VITA EDGE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN ANUKAM NURSE PRACTITIONER (OWNER)
(775) 287-6993
Entity
Organization
Contact information
Practice address
2808 BLUEJACK RD, MCKINNEY, TX 75071-3638
(775) 287-6993
Mailing address
2808 BLUEJACK RD, MCKINNEY, TX 75071-3638
(775) 287-6993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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