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General NPI Number Information
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NPI Number | 1922758135
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Entity Type | Organization
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Legal Business Name | LANDER HOLISTIC HEALTH AND WELLNESS
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Dates
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Enumeration Date | 03/29/2022
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Last Update Date | 02/01/2023
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Provider Practice Location Address
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Address Line | 4830 WILSON RD STE 300 PMB #536
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City | HUMBLE
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State | TX
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Zip | 77396
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Country | US
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Telephone | 281-447-1686
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Fax |
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Provider Business Mailing Address
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Address Line | 4830 WILSON RD STE 300 PMB #536
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City | HUMBLE
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State | TX
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Zip | 77396
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Country | US
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Telephone | 281-447-1686
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNA M UHEGWU
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Credential | FNP-C, PMHNP-BC
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Telephone | 832-447-1686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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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 |
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License Number State |
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