MEDICARE: EUNHEE WI PMHNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1100310	TX

General Provider Information

NPI Number	:	1518883164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUNHEE WI PMHNP

Provider Business Mailing Address
First Line	:	3713 STONEWAY DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-1902
Country	:	US
Telephone Number	:	484-477-5840
Fax Number	:

Provider Business Practice Location Address
First Line	:	3713 STONEWAY DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-1902
Country	:	US
Telephone Number	:	484-477-5840
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2026
Last Update Date	:	06/27/2026

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