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NPI Code Detail

MEDICARE: MRS. ELEWECHI AKA FNP

MEDICARE: MRS. ELEWECHI AKA 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 PractitionerAP132863TX

General Provider Information

NPI Number : 1639549801
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELEWECHI AKA FNP
Provider Business Mailing Address
First Line : 14217 NOTTING HILL DR
Second Line :
City : LITTLE ELM
State : TX
Zip : 75068-5069
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 423 FORTRESS BLVD
Second Line :
City : MORGANTOWN
State : WV
Zip : 26508-1351
Country : US
Telephone Number : 708-481-2326
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2015
Last Update Date : 07/03/2024

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