Wigdan Hassan Ahmed Mohammed, NP
Nurse Practitioner, Pediatrics in Galveston, TX. Individual provider (NPI-1).
NPI number1053080580
StatusActive
Last updated in NPPESJul 28, 2022
Details
- NPI
- 1053080580
- Entity type
- Individual (NPI-1)
- Name
- Wigdan Hassan Ahmed Mohammed
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2021
- Certification date
- Jul 28, 2022
- Last updated
- Jul 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 1019667 | TX | Yes |
Practice location
400 Harborside Dr Ste 103Galveston, TX 77555-5003
Phone 409-772-3695
Mailing address
Po Box 650859Dept 710
Dallas, TX 75265-5003
Phone 409-747-6240
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