Individual provider · Type 1 NPI

Ivie Edosomwan

Psychiatric/Mental Health Nurse Practitioner · Sugar Land, TX

NPI number 1336906783 Active

Practice location

14090 Southwest Fwy Ste 300
Sugar Land, TX 77478-3679

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X1154270 (TX)

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

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About NPI 1336906783

Ivie Edosomwan's National Provider Identifier is 1336906783, issued on Mar 4, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Sugar Land, TX. The record was last updated on Mar 4, 2024.