Individual provider · Type 1 NPI
Clede Kemayu
Psychiatric/Mental Health Nurse Practitioner · Lucas, TX
NPI number
1063155018
Active
Practice location
1200 Excellence Dr
Lucas, TX 75098-1848
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1060445 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1063155018
Clede Kemayu's National Provider Identifier is 1063155018, issued on Apr 18, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lucas, TX. The record was last updated on Apr 18, 2022.