Individual provider · Type 1 NPI
Misida Gwanyebit-Fodje, NP
Gerontology Nurse Practitioner · Houston, TX
NPI number
1265958110
Active
Practice location
18220 Texas 249 Access Road, 230
Houston, TX 77070
Mailing address
15006 Wildberry Creek Ct
Cypress, TX 77433-2241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | AP133843 (TX) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1265958110
Misida Gwanyebit-Fodje, NP's National Provider Identifier is 1265958110, issued on Aug 22, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Houston, TX. The record was last updated on Aug 22, 2017.