Individual
ATEMNKENG FONKEM DIBAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
318 W BELT LINE RD STE 304, CEDAR HILL, TX 75104-1103
(972) 972-4767
(972) 972-4737
Mailing address
318 W BELT LINE RD, CEDAR HILL, TX 75104-1104
(972) 972-4767
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
AP132256
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP132256
TX
Other
Enumeration date
08/27/2015
Last updated
02/04/2023
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