PRAJNAWATI WIBOWO NP NPI 1760959696

NPI Information

NPI: 1760959696
Provider Name: PRAJNAWATI WIBOWO, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: QUESTCARE HOSPITALISTS PLLC

PECOS Registration: Yes

Address:
3535 S INTERSTATE 35 E
DENTON, TX
ZIP 76210
Phone: (940) 384-3535
Get Directions

Prajnawati Wibowo, NP is a psychiatric/mental health nurse practitioner in Denton, TX with 6 years of experience. Prajnawati Wibowo, NP NPI is 1760959696. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3535 S INTERSTATE 35 E
DENTON, TX
ZIP 76210-850
Phone: (940) 384-3535

The NPI 1760959696 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/29/2018 and was last updated on 10/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	AP139122	TEXAS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP139122	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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