Organization · Type 2 NPI
Eden's Vantage LLC
Psychiatric/Mental Health Nurse Practitioner · Forney, TX
NPI number
1104593789
Active
Practice location
2553 Pettus Dr
Forney, TX 75126-4172
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104593789
Eden's Vantage LLC's National Provider Identifier is 1104593789, issued on Aug 23, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Forney, TX. The record was last updated on Sep 8, 2022.