Edoghogho Stacy Edosonmwan

RN | Nurse Practitioner

201 Amanda Ln Ste 100, Waxahachie
  Texas, 75165-1391
469-523-2646
May or may not accept Medicare Nurse Anesthetist in Waxahachie, Texas.
Edoghogho Stacy Edosonmwan is a Waxahachie, Texas based nurse practitioner. Active license number of Edoghogho Stacy Edosonmwan is 1116542 for Psych/Mental Health in Texas. Her current practice location is 201 Amanda Ln Ste 100, Waxahachie. Patients can reach her at 469-523-2646 or can fax her at 469-242-9599. Edoghogho Stacy Edosonmwan is RN and her NPI number (Unique professional ID assigned by NPPES) is 1356808901.
Edoghogho Stacy Edosonmwan has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Edoghogho Stacy Edosonmwan speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Edoghogho Stacy Edosonmwan
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: RN
Practice Address:201 Amanda Ln Ste 100, Waxahachie,
Texas, 75165-1391
Phone:469-523-2646
Fax:469-242-9599
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1356808901
NPI Enumeration Date: 01 Mar, 2019
NPI Last Update On: 19 May, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edoghogho Stacy Edosonmwan are as mentioned below.
License NumberSpecializationStateStatus
1116542Psych/Mental Health TexasPrimary
951996Registered Nurse TexasSecondary
230297Psych/Mental Health LouisianaSecondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Edoghogho Stacy Edosonmwan
2000 Opelousas St,
Lake Charles, Louisiana
Zip: 70601-2641
Phone Number: 337-769-9451
Patients can reach Edoghogho Stacy Edosonmwan at 201 Amanda Ln Ste 100, Waxahachie, Texas or can call to book an appointment on 469-523-2646.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.