Individual
JANE MUTHEU MUTISYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2600 W PLEASANT RUN RD, LANCASTER, TX 75146-1114
(469) 297-5321
Mailing address
2600 W PLEASANT RUN RD, LANCASTER, TX 75146-1114
(469) 297-5321
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1077660
TX
Other
Enumeration date
03/27/2023
Last updated
04/03/2023
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