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NPI Code Detail

MEDICARE: GERTRUDE KONYEDI IGWE

MEDICARE:   GERTRUDE KONYEDI IGWE
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1112403TX

General Provider Information

NPI Number : 1528748621
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERTRUDE KONYEDI IGWE
Provider Business Mailing Address
First Line : 1936 HAVEN SPRINGS LN
Second Line :
City : RICHMOND
State : TX
Zip : 77469-4275
Country : US
Telephone Number : 713-966-0966
Fax Number :
Provider Business Practice Location Address
First Line : 1936 HAVEN SPRINGS LN
Second Line :
City : RICHMOND
State : TX
Zip : 77469-4275
Country : US
Telephone Number : 713-966-0966
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2023
Last Update Date : 07/24/2023

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Directions to “ GERTRUDE KONYEDI IGWE ” Practice Location

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