Individual
GENISA ESTELLE OGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
14185 FM 1008, DAYTON, TX 77535-8276
(702) 762-8534
Mailing address
14185 FM 1008, DAYTON, TX 77535-8276
(702) 762-8534
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1142468
TX
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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