Individual
HERMINE R ARIYIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
221 W COLORADO BLVD, PAVILLION I, SUITE 108, DALLAS, TX 75208-2363
(214) 941-3192
Mailing address
221 W COLORADO BLVD, PAVILLION I, SUITE 108, DALLAS, TX 75208-2363
(214) 941-3192
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
600383
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207847901
—
TX
05
—
207847902
—
TX
05
—
207847903
—
TX
Enumeration date
10/23/2008
Last updated
03/24/2010
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