IndividualActive
Agwesip Emmaculate
NPI 1861975534 · Licensed Practical Nurse · Dallas, TX
Provider details
- NPI number
- 1861975534
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- P62434 (IA)
Specialties & taxonomies
Nursing Service Providers
Practice location
6202 Balcony Ln
Dallas, TX 75241-5059
Phone: (972) 404-6542
Approximate (ZIP-level) locationGet directions
Mailing address
6202 Balcony Ln
Dallas, TX 75241-5059
Registry dates
- Enumerated
- 2018-09-10
- Last updated
- 2018-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.