Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Agwesip Emmaculate

Individual provider Licensed Practical Nurse · NPI 1861975534

Agwesip Emmaculate is a Licensed Practical Nurse in Dallas, Texas. Licensed in Iowa. Registered with an NPI since 2018.

Licensed in
IA
In the registry since
2018

Practice location Address checks out

6202 Balcony Ln
Dallas, TX 75241-5059
Phone: (972) 404-6542
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence P62434 (IA)

Record details

NPI number1861975534
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 10, 2018
Last updated in NPPESSeptember 10, 2018
Mailing address6202 Balcony Ln, Dallas, TX 75241-5059

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