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Ivie Edosomwan
Psychiatric/Mental Health Nurse Practitioner in Sugar Land, Texas
NPI 1336906783

Ivie Edosomwan is a Psychiatric/Mental Health Nurse Practitioner based in Sugar Land, TX and is specialized in Psychiatric/Mental Health. Ivie Edosomwan practices in Sugar Land, TX. The NPI Number for Ivie Edosomwan is 1336906783 and holds a License No. 1154270 (Texas).

The current practice location address for Ivie Edosomwan is 14090 Southwest Fwy Ste 300, Sugar Land, TX and can be reached out via phone at 832-495-1488.

Location: 14090 Southwest Fwy Ste 300, Sugar Land, TX, 77478-3679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336906783
Provider Name
Ivie Edosomwan
Credential
Provider Entity Type
Individual
Gender
Female
Address
14090 Southwest Fwy Ste 300, Sugar Land, TX, 77478-3679
Phone Number
832-495-1488
Fax Number
Provider Enumeration Date
03/04/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
14090 Southwest Fwy Ste 300
City
Sugar Land
State
Texas
Zip
77478-3679
Phone Number
832-495-1488
Fax Number
person
Provider Business Mailing Address Details
Address
14090 Southwest Fwy Ste 300
City
Sugar Land
State
Texas
Zip
77478-3679
Phone Number
832-495-1488
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
1154270 (Texas)
Definition
Definition to come...
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