Individual
MISS SHARON EDE AGENMONMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2412 OLD NORTH RD, DENTON, TX 76209-1548
(908) 422-2960
Mailing address
3085 WALNUT BEND LN APT 25, HOUSTON, TX 77042-3328
(908) 422-2960
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1159517
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95030398
CA
Other
Enumeration date
01/04/2025
Last updated
01/04/2025
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