EBELECHUKWU EKWENUGO


Address: 616 Jagera Way, Arlington, TX 76002-4582
Phone: 6825215224

EBELECHUKWU EKWENUGO (NPI# 1710535398) 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) 1710535398
Entity Type Individual
Full Name EBELECHUKWU EKWENUGO
Credential APRN
Practice Address 616 Jagera Way
Arlington
TX 76002-4582
Practice Telephone 6825215224
Mailing Telephone 6825215224
Enumeration Date 2019-08-28
Last Update Date 2020-03-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP144089 TX Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 616 JAGERA WAY
City ARLINGTON
State TX
Zip Code 76002-4582

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1497390694 Ijeoma Esther Osuji Nurse Practitioner 5307 Alta Vista Lane, Arlington, TX 76017 2019-11-12
1194367813 Agather Onyango Nurse Practitioner 725 Sendero Dr, Arlington, TX 76002-5715 2019-10-14
1427514553 Fast Behavorial Health Corporation Nurse Practitioner 1406 Anglican Dr, Arlington, TX 76002-3741 2019-02-13
1184129157 Perfect Peace Health Consultants Pllc Nurse Practitioner 1401 Gilday Dr, Arlington, TX 76002-3734 2018-03-29
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Competitor

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City ARLINGTON
Zip Code 76002

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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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