Individual provider · NPI-1

Mihoko Watanabe Abegunde, NP

Nurse Practitioner · Dallas, TX

NPI number1730632282
StatusActive
Last updated in NPPESJun 7, 2024

Details

NPI
1730632282
Entity type
Individual (NPI-1)
Name
Mihoko Watanabe Abegunde
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 2, 2016
Certification date
Jun 7, 2024
Last updated
Jun 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerAP130658TXYes
363LG0600X Nurse Practitioner, GerontologyAP130658TX

Other names

  • Mihoko Watanabe (Former Name)

Practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Phone 214-645-8650 · Fax 214-645-0078

Mailing address

Po Box 845347
Dallas, TX 75284-5347

Phone 214-645-8650 · Fax 214-645-0078

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