Individual
MRS. DAVIDA OYERE KOFFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP- BC
Contact information
Practice address
2717 TIBBETS DR, BEDFORD, TX 76022-6914
(301) 537-3260
Mailing address
2717 TIBBETS DR, BEDFORD, TX 76022-6914
(301) 537-3260
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1156473
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1156473
TEXAS BOARD OF NURSING.
TX
Enumeration date
08/24/2018
Last updated
04/05/2024
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