Overview
Name: EDEN’S VANTAGE
Specialty: Psychiatric/Mental Health Nurse Practitioner
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Physician Assistants & Advanced Practice Nursing Providers
Classification: Nurse Practitioner
Specialization: Psychiatric/Mental Health.
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: EDEN’S VANTAGE,2553 PETTUS DR,FORNEY,TX,751264172,US
Mailing Address: EDEN’S VANTAGE,2553 PETTUS DR,FORNEY,TX,751264172,US
Contact #
Practice location phone #: 4695695148
Practice location fax #:
Mailing address Phone #: 4695695148
Mailing Address fax #:
Authorized official Name/Telephone #:EMMANUEL, E., OKON, CNP, CEO 4695695148
Misc
Date NPI was obtained: 08/23/2021
Last data data was updated: 08/23/2021
Insurances: