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General NPI Number Information
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NPI Number | 1871363978
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Entity Type | Individual
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Provider Name | NNEOMA MAY PUSTEJOVSKY PMHNP
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Gender | Female
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Dates
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Enumeration Date | 01/09/2024
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 23410 GRAND RESERVE DR STE 802
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City | KATY
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State | TX
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Zip | 77494-4983
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Country | US
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Telephone | 281-724-7980
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Fax |
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Provider Business Mailing Address
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Address Line | 23410 GRAND RESERVE DR STE 802
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City | KATY
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State | TX
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Zip | 77494-4983
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Country | US
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Telephone | 281-724-7980
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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 | 1166902
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License Number State | TX
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