Individual provider · Type 1 NPI

Mark William Cvengros-Edens, APRN

Nurse Practitioner · Griffin, GA

NPI number 1497542773 Active

Practice location

747 S 8th St Ste C
Griffin, GA 30224-4884

Fax (770) 228-7562

Mailing address

PO Box 4439
Houston, TX 77210-4439

Other practice locations

  • 1515 Holcombe Blvd, Houston, TX 77030-4000 · (713) 792-6161

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X1193193 (TX)
Nurse Practitioner Primary 363L00000XRN296180 (GA)
Registered Nurse 163W00000X296180 (GA)

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 1497542773

Mark William Cvengros-Edens, APRN's National Provider Identifier is 1497542773, issued on Apr 22, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Griffin, GA. The record was last updated on Jun 17, 2025.