Individual
EVELYNE ONGWAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2700 E BROAD ST, MANSFIELD, TX 76063-5899
(682) 242-2000
Mailing address
2976 LOCH CIR, GRAND PRAIRIE, TX 75054-0169
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1032012
TX
Other
Enumeration date
03/22/2021
Last updated
02/07/2024
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