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Audra Coston, PMHNP

Nurse Practitioner, Psych/Mental Health in Grand Prairie, TX. Individual provider (NPI-1).

NPI number1962012146
StatusActive
Last updated in NPPESNov 3, 2020

Details

NPI
1962012146
Entity type
Individual (NPI-1)
Name
Audra Coston
Credential
PMHNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 3, 2020
Certification date
Nov 3, 2020
Last updated
Nov 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental HealthAP146041TXYes

Practice location

1171 107th St
Grand Prairie, TX 75050-2502

Phone 972-597-0843

Mailing address

1171 107th St
Grand Prairie, TX 75050-2502

Phone 972-597-0843

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