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NPI Code Detail

MEDICARE: MISS NATHALIE GIGWISHIA MAHMUD NP STUDENT

MEDICARE: MISS NATHALIE GIGWISHIA MAHMUD NP STUDENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner226271OK
2363LP0808XPsychiatric/Mental Health Nurse Practitioner1208779TX
3163W00000XRegistered Nurse867153TX
4390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1215193552
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS NATHALIE GIGWISHIA MAHMUD NP STUDENT
Provider Business Mailing Address
First Line : 13303 REDWOOD TRAIL LN
Second Line :
City : ROSHARON
State : TX
Zip : 77583-0436
Country : US
Telephone Number : 832-947-8450
Fax Number :
Provider Business Practice Location Address
First Line : 1950 ASPEN AVE
Second Line :
City : LUBBOCK
State : TX
Zip : 79404-1211
Country : US
Telephone Number : 806-740-7421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2008
Last Update Date : 01/20/2026

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