Healthcare Provider Details

I. General information

NPI: 1538095187
Provider Name (Legal Business Name): BEATRICE ONUGO IKERIONWU NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8812 E CHURCHILL CIR
WICHITA KS
67206-4441
US

IV. Provider business mailing address

8812 E CHURCHILL CIR
WICHITA KS
67206-4441
US

V. Phone/Fax

Practice location:
  • Phone: 316-516-3924
  • Fax:
Mailing address:
  • Phone: 316-516-3924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number53-85746-061
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: