Individual
BLESSINGS WIYEH FANKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 INTERSTATE HIGHWAY 30 STE 180, MESQUITE, TX 75150-2601
(866) 552-4866
Mailing address
1815 EDWARDS CHURCH RD, MESQUITE, TX 75181-1825
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
718250
TX
363LA2200X
Adult Health Nurse Practitioner
AP127164
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP127164
TX
Other
Enumeration date
02/11/2015
Last updated
08/26/2024
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