Individual provider · Type 1 NPI
Edith Kanyongo, RN, MSN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Dallas, TX
NPI number
1114357571
Active
Practice location
1380 River Bend Dr
Dallas, TX 75247-4914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 742970 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114357571
Edith Kanyongo, RN, MSN, PMHNP-BC's National Provider Identifier is 1114357571, issued on Nov 22, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Dallas, TX. The record was last updated on Nov 22, 2013.