Individual
MR. EDEWOR BERNAED OSEVWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
6302 BROADWAY ST STE 130, PEARLAND, TX 77581-7859
(832) 438-0330
Mailing address
6302 BROADWAY ST STE 130, PEARLAND, TX 77581-7859
(832) 438-0330
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1061917
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202205752NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043103013
BLUE CROSS BLUE SHIELD
IL
05
—
043103013
—
IL
05
—
2009039423
—
MO
Enumeration date
06/16/2011
Last updated
04/21/2024
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