Individual
KRISTEN CHARMAINE EUSEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3555 W WHEATLAND RD, DALLAS, TX 75237-3461
(972) 709-2580
Mailing address
11411 LUNA RD APT 18201, FARMERS BRANCH, TX 75234-9469
(940) 337-5851
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1123827
TX
Other
Enumeration date
08/29/2023
Last updated
09/01/2023
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