Provider Demographics
NPI:1003331869
Name:UKIRI, ELIZABETH A (A-GNP-C)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:UKIRI
Suffix:
Gender:F
Credentials:A-GNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5350 RIVERPORT DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-1218
Mailing Address - Country:US
Mailing Address - Phone:214-500-9844
Mailing Address - Fax:
Practice Address - Street 1:5350 RIVERPORT DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-1218
Practice Address - Country:US
Practice Address - Phone:214-500-9844
Practice Address - Fax:214-500-9844
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-13
Last Update Date:2017-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAG08170026163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAG08170026OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS