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NPI Code Detail

MEDICARE: AKWAUGO NDUKA FNP

MEDICARE: AKWAUGO NDUKA FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP133047TX

General Provider Information

NPI Number : 1457898645
Entity Type Code : Individual
Provider Name (Legal Business Name) : AKWAUGO NDUKA FNP
Provider Business Mailing Address
First Line : 9522 BROADWAY ST
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7724
Country : US
Telephone Number : 866-389-2727
Fax Number : 281-534-4236
Provider Business Practice Location Address
First Line : 9522 BROADWAY ST
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7724
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2017
Last Update Date : 07/21/2022

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