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Individual

MRS. LINDA SEVIDZEM MBANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC

Contact information

Practice address
21311 TREBUCHET DRIVE, KINGWOOD, TX 77339
(281) 503-4673
Mailing address
2261 NORTHPARK DR # 1031, KINGWOOD, TX 77339-1744
(281) 503-4673

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
886256
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1096937
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
279587
AZ

Other

Enumeration date
06/07/2022
Last updated
02/02/2024
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