Individual
JUDITH NWOSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 COUSHATTA TRL, LONGVIEW, TX 75605-5709
(903) 399-6058
Mailing address
214 HILL ST, LONGVIEW, TX 75605-3651
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
968893
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1177824
TX
Other
Enumeration date
07/21/2020
Last updated
11/22/2024
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