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Name: EDEN’S VANTAGE Specialty: Psychiatric/Mental Health Nurse Practitioner Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
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): , , , ,
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
Date NPI was obtained: 08/23/2021 Last data data was updated: 08/23/2021 Insurances:

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