Individual provider · Type 1 NPI

Paola Mwenentanda, NP

Nurse Practitioner · Tyler, TX

NPI number 1285506295 Active

Practice location

700 Olympic Plaza Cir Ste 700
Tyler, TX 75701-1954

Fax (903) 262-3993

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1205029 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1285506295

Paola Mwenentanda, NP's National Provider Identifier is 1285506295, issued on Sep 19, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tyler, TX. The record was last updated on Sep 19, 2025.