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General NPI Number Information
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NPI Number | 1770040487
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Entity Type | Individual
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Provider Name | NADEGE NGUETSOP NNAMANI FNP
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Gender | Female
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Dates
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Enumeration Date | 02/28/2019
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 2004 FORD PKWY
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City | SAINT PAUL
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State | MN
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Zip | 55116-1931
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Country | US
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Telephone | 505-870-0015
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Fax |
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Provider Business Mailing Address
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Address Line | 10101 SOUTHWEST FWY STE 108
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City | HOUSTON
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State | TX
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Zip | 77074-1140
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Country | US
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Telephone | 708-250-6050
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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 | AP139700
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License Number State | TX
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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 | 73266
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10405
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP139700
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License Number State | TX
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