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Agwesip Emmaculate
Licensed Practical Nurse in Dallas, Texas
NPI 1861975534

Agwesip Emmaculate is a Licensed Practical Nurse based in Dallas, TX. Agwesip Emmaculate practices in Dallas, TX. The NPI Number for Agwesip Emmaculate is 1861975534 and holds a License No. P62434 (Texas).

The current practice location address for Agwesip Emmaculate is 6202 Balcony Ln, Dallas, TX and can be reached out via phone at 972-404-6542.

Location: 6202 Balcony Ln, Dallas, TX, 75241-5059
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861975534
Provider Name
Agwesip Emmaculate
Credential
Provider Entity Type
Individual
Gender
Female
Address
6202 Balcony Ln, Dallas, TX, 75241-5059
Phone Number
972-404-6542
Fax Number
Provider Enumeration Date
09/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6202 Balcony Ln
City
Dallas
State
Texas
Zip
75241-5059
Phone Number
972-404-6542
Fax Number
person
Provider Business Mailing Address Details
Address
6202 Balcony Ln
City
Dallas
State
Texas
Zip
75241-5059
Phone Number
972-404-6542
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
P62434 (Iowa)
Definition
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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