MEDICARE: MRS. ANIEFIOK INNOCENT USORO RN

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
1	374T00000X	Religious Nonmedical Nursing Personnel	700091	TX

General Provider Information

NPI Number	:	1730193087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANIEFIOK INNOCENT USORO RN

Provider Business Mailing Address
First Line	:	2702 SCARLET SUNSET CT
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-5460
Country	:	US
Telephone Number	:	281-683-8971
Fax Number	:	713-776-9920

Provider Business Practice Location Address
First Line	:	2702 SCARLET SUNSET CT
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-5460
Country	:	US
Telephone Number	:	281-683-8971
Fax Number	:	713-776-9920

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	09/30/2025

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