EDITH MUDOH
NPI 1215606686
Nurse Practitioner - Family in Longview, TX

Q: What is Edith Mudoh's NPI number?

The NPI number for Edith Mudoh is 1215606686. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Q: What is Edith Mudoh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Edith Mudoh was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 09, 2021

710 CREPE MYRTLE LN, LONGVIEW, TX 75604(832) 202-4820 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Edith Mudoh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDITH MUDOH (NPI 1215606686) is an individual family provider in Longview, Texas, licensed in Texas (1052581) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1215606686

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameEDITH MUDOH

Location Address710 CREPE MYRTLE LNLongview, TX 75604-6906

Mailing Address710 Crepe Myrtle LnLongview, TX 75604-6906 · (832) 202-4820

Phone(832) 202-4820

Sole ProprietorNo

Enumeration DateSeptember 9, 2021

NPPES CertifiedSeptember 9, 2021

✔ NPI 1215606686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1052581

710 CREPE MYRTLE LN, Longview, TX 75604

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALFRED MUDOH

Pharmacist

710 CREPE MYRTLE LN
LONGVIEW, TX 75604

Gregg County (832) 202-4796

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edith Mudoh's NPI number?

The NPI number for Edith Mudoh is 1215606686. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Edith Mudoh located?

Edith Mudoh practices at 710 Crepe Myrtle Ln, Longview, TX 75604. The listed phone number is (832) 202-4820.

What is Edith Mudoh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Edith Mudoh was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.