Individual
ANTHONIA O EGBEDEJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11600 FM 1960 RD W STE A, HOUSTON, TX 77065-3516
(281) 720-8639
Mailing address
PO BOX 746079, ATLANTA, GA 30374-6079
(773) 352-1513
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
149732
TN
363LF0000X
Family Nurse Practitioner
Primary
2019006675
MO
363LF0000X
Family Nurse Practitioner
APN154784
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019006675
STATE LICENSE
MO
01
—
53-78721-121
STATE LICENSE
KS
01
—
APN15784
STATE LICENSE
TN
Enumeration date
06/24/2011
Last updated
05/05/2025
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