Individual
PRUDENCE OWUSU - PREMPEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3500 W WHEATLAND RD, DALLAS, TX 75237-3460
(214) 947-0199
Mailing address
3500 W WHEATLAND RD, DALLAS, TX 75237-3460
(214) 947-0199
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1010545
TX
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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