Organization · Type 2 NPI
Fendeviv Health and Wellness Center PLLC
Psychiatric/Mental Health Nurse Practitioner · Desoto, TX
NPI number
1245053651
Active
Practice location
1736 River Run Dr
Desoto, TX 75115-0108
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 1245053651
Fendeviv Health and Wellness Center PLLC's National Provider Identifier is 1245053651, issued on Nov 4, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Desoto, TX. The record was last updated on Nov 14, 2024.