Individual
MS. EMMA OTIENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5508 GYPSUM DR, MCKINNEY, TX 75070-1359
(954) 600-9036
Mailing address
5508 GYPSUM DR, MCKINNEY, TX 75070-1359
(954) 600-9036
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
79535
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP143714
TX
Other
Enumeration date
11/14/2019
Last updated
06/09/2022
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