Individual provider · Type 1 NPI
Agwesip Emmaculate
Licensed Practical Nurse · Dallas, TX
NPI number
1861975534
Active
Practice location
6202 Balcony Ln
Dallas, TX 75241-5059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | P62434 (IA) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Another provider at this address
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About NPI 1861975534
Agwesip Emmaculate's National Provider Identifier is 1861975534, issued on Sep 10, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dallas, TX. The record was last updated on Sep 10, 2018.