Individual provider · Type 1 NPI

Efren Vista Mamigo Jr., APRN

Psychiatric/Mental Health Nurse Practitioner · Wylie, TX

NPI number 1285579615 Active

Practice location

613 S Highway 78 Ste 200
Wylie, TX 75098-5525

Fax (833) 450-4779

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X1033262 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1285579615

Efren Vista Mamigo Jr., APRN's National Provider Identifier is 1285579615, issued on Apr 22, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wylie, TX. The record was last updated on Sep 30, 2026.