Individual
KIMBERLY NNEKA ONWUBUYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
99 REGENCY PKWY STE 113, MANSFIELD, TX 76063-7818
(972) 904-5760
(817) 592-3323
Mailing address
99 REGENCY PKWY STE 113, MANSFIELD, TX 76063-7818
(972) 904-5760
(817) 592-3323
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
AP142883
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP142883
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4177644
—
TX
05
—
417764401
—
TX
01
—
45D2274936
CLIA
TX
Enumeration date
08/27/2019
Last updated
08/16/2024
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