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NPI Code Detail

MEDICARE: DR. PRINCESS ZITA IFUNANYA ANIGBOGU DNP, APRN, FNP-BC

MEDICARE: DR. PRINCESS ZITA IFUNANYA ANIGBOGU DNP, APRN, FNP-BC
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 Practitioner1099294TX

General Provider Information

NPI Number : 1194294009
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRINCESS ZITA IFUNANYA ANIGBOGU DNP, APRN, FNP-BC
Provider Business Mailing Address
First Line : 5803 STONERIDGE DR
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-1461
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5803 STONERIDGE DR
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-1461
Country : US
Telephone Number : 888-725-5422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2018
Last Update Date : 04/16/2026

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