MEDICARE: MS. THELMA N MFEBE NURSE

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	1136990	TX
2	163W00000X	Registered Nurse	R236234	MD

General Provider Information

NPI Number	:	1609405570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. THELMA N MFEBE NURSE

Provider Business Mailing Address
First Line	:	2430 JEFFERSON POINT DR APT 936
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-4241
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2430 JEFFERSON POINT DR APT 936
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-4241
Country	:	US
Telephone Number	:	240-917-0208
Fax Number	:

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

Provider Enumeration Date	:	04/03/2020
Last Update Date	:	09/25/2025

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