Individual provider · Type 1 NPI
Peris B. Momanyi
Family Nurse Practitioner · Grand Prairie, TX
NPI number
1194533356
Active
Practice location
3531 Ponderosa Dr
Grand Prairie, TX 75052-7858
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1177246 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1194533356
Peris B. Momanyi's National Provider Identifier is 1194533356, issued on Dec 20, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Prairie, TX. The record was last updated on Dec 20, 2024.