Individual
BEVERLY CHIOMA EDIGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
777 S FRY RD STE 205, KATY, TX 77450-2297
(281) 646-8450
Mailing address
3403 BOQUILLAS CT, KATY, TX 77494-1391
(832) 867-0226
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP131752
TX
363LF0000X
Family Nurse Practitioner
AP131752
TX
Other
Enumeration date
11/01/2016
Last updated
04/21/2021
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