Provider Demographics
NPI:1023815842
Name:ARUM, MAUREEN NONYELUM
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:NONYELUM
Last Name:ARUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11615 FOREST CENTRAL DR STE 322
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6699
Mailing Address - Country:US
Mailing Address - Phone:214-952-2899
Mailing Address - Fax:
Practice Address - Street 1:11615 FOREST CENTRAL DR STE 322
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6699
Practice Address - Country:US
Practice Address - Phone:214-952-2899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1191479363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health