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

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XP62434 (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.

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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.