CHIDIOGO EBENMELU


Address: 6706 Laguna Trace St, Richmond, TX 77407-2066
Phone: 3478692923

CHIDIOGO EBENMELU (NPI# 1306318712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306318712
Entity Type Individual
Full Name CHIDIOGO EBENMELU
Credential APRN
Practice Address 6706 Laguna Trace St
Richmond
TX 77407-2066
Practice Telephone 3478692923
Mailing Telephone 3478692923
Enumeration Date 2018-12-23
Last Update Date 2018-12-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
AG10180235 TX Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
AG10180235 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6706 LAGUNA TRACE ST
City RICHMOND
State TX
Zip Code 77407-2066

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477017010 Maria Nariza Hinds Nurse Practitioner 23423 San Ricci Ct, Richmond, TX 77406-2235 2019-01-28
1073095899 Geraldine O Ezeani Nurse Practitioner 21139 Granite Trail Ln, Richmond, TX 77407-7184 2018-08-29
1144745340 Kate Ekaette Christopher Nurse Practitioner 5007 Quill Rush Way, Richmond, TX 77407-3688 2017-08-08
1235598970 Stephanie Schuster Nurse Practitioner 3009 Douglasdale Rd, Richmond, VA 23221-3615 2016-02-22
1518346527 Marilyn Frances Martin Nurse Practitioner 6023 Vicki Lynn Ln, Richmond, TX 77406-8638 2015-05-22
1558753137 Adeola Ajayi Nurse Practitioner 1515 Brady Creek Ln, Richmond, TX 77406-8264 2015-02-19
1366846305 Anne Brennan Nurse Practitioner 7607 Forest Avenue, Suite 300, Richmond, VA 23229 2014-10-20
1649513540 Wadeha Omega Taylor Nurse Practitioner 6206 Forest Glade Dr, Richmond, TX 77469-6138 2013-03-29
1346562212 Lisa N. Lee Nurse Practitioner 1712 East Broad Street, Richmond, VA 23223 2010-02-19
1750550950 Arlene Fultz Nurse Practitioner 3710 Cheyenne Rd, Richmond, VA 23235-1218 2008-02-21
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Competitor

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City RICHMOND
Zip Code 77407

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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