MEDICARE: BERNICE ONYENEZI APRN-C

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	363LF0000X	Family Nurse Practitioner	AP145403	TX

General Provider Information

NPI Number	:	1871372219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BERNICE ONYENEZI APRN-C

Provider Business Mailing Address
First Line	:	10203 HUNTINGTON VIEW DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77099-3037
Country	:	US
Telephone Number	:	832-282-8651
Fax Number	:

Provider Business Practice Location Address
First Line	:	10203 HUNTINGTON VIEW DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77099-3037
Country	:	US
Telephone Number	:	832-282-8651
Fax Number	:

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

Provider Enumeration Date	:	09/25/2023
Last Update Date	:	09/25/2023

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