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NPI Code Detail

MEDICARE: MRS. VIOLET NKONGHO ASHU APRN

MEDICARE:  MRS. VIOLET NKONGHO ASHU  APRN
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 Practitioner271691AZ
2363LP0808XPsychiatric/Mental Health Nurse Practitioner65254NM
3363LP0808XPsychiatric/Mental Health Nurse Practitioner1036136TX

General Provider Information

NPI Number : 1881278240
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VIOLET NKONGHO ASHU APRN
Provider Business Mailing Address
First Line : 2920 MONTALBO
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75054-6506
Country : US
Telephone Number : 713-540-8814
Fax Number :
Provider Business Practice Location Address
First Line : 4245 N CENTRAL EXPY STE 490
Second Line :
City : DALLAS
State : TX
Zip : 75205-4231
Country : US
Telephone Number : 713-540-8814
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2021
Last Update Date : 12/30/2022

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