Individual
AUDREY MBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 HIDDEN RDG APT 2142, IRVING, TX 75038-8428
(405) 526-8533
Mailing address
1100 HIDDEN RDG APT 2142, IRVING, TX 75038-8428
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
28257572C
IN
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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