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General NPI Number Information
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NPI Number | 1275221558
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Entity Type | Individual
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Provider Name | DIANA NGUMSINA MUYONGA PMHNP
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Gender | Female
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Dates
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Enumeration Date | 04/25/2023
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 14829 BELLAIRE BLVD STE 13B-5
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City | HOUSTON
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State | TX
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Zip | 77083-2500
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Country | US
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Telephone | 346-631-5576
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Fax | 346-631-5576
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Provider Business Mailing Address
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Address Line | 14829 BELLAIRE BLVD STE 13B-5
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City | HOUSTON
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State | TX
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Zip | 77083-2500
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Country | US
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Telephone | 346-631-5576
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024192885
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1115134
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 406009
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5018618
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License Number State | NC
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