Individual provider · Type 1 NPI
Edwin James Stow
Psychiatric/Mental Health Nurse Practitioner · Lubbock, TX
NPI number
1336703933
Active
Practice location
8602 Peach Ave
Lubbock, TX 79404-7777
Fax (806) 748-1726
Mailing address
3612 38th St
Lubbock, TX 79413-2630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP141486 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1336703933
Edwin James Stow's National Provider Identifier is 1336703933, issued on Apr 29, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lubbock, TX. The record was last updated on Apr 29, 2019.