Individual
TERESIAH N MWANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Contact information
Practice address
1250 W MOCKINGBIRD LN, STE 550, DALLAS, TX 75247-4902
(469) 904-3555
(214) 819-2405
Mailing address
1250 W MOCKINGBIRD LN, STE 550, DALLAS, TX 75247-4902
(469) 904-3555
(214) 819-2405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
H-118458
IA
363L00000X
Nurse Practitioner
J-118458
IA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP127814
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
495196YLPS
WELLMED MEDICAL GROUP PA
TX
Enumeration date
06/23/2014
Last updated
05/17/2016
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