Individual
DR. PETER KIMITI MWANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AG-ACNP-BC
Contact information
Practice address
2929 WYCLIFF AVE, APT 2227, DALLAS, TX 75219-2646
(205) 747-9949
Mailing address
1931 MARKET CENTER BLVD APT 4217, DALLAS, TX 75207-3430
(205) 747-9949
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP132915
TX
363LA2100X
Acute Care Nurse Practitioner
AP132915
TX
Other
Enumeration date
02/09/2017
Last updated
07/04/2021
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