Individual
ANNA MARIA MIRBAHAEDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1165 S STEMMONS FWY STE 114, LEWISVILLE, TX 75067-5335
(972) 420-1475
(469) 671-5437
Mailing address
1165 S STEMMONS FWY STE 114, LEWISVILLE, TX 75067-5335
(972) 420-1475
(469) 671-5437
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
630847
TX
Other
Enumeration date
07/10/2008
Last updated
05/12/2009
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