Provider Demographics
NPI:1003472473
Name:NELSON, NONYE UCHECHI (NP)
Entity Type:Individual
Prefix:
First Name:NONYE
Middle Name:UCHECHI
Last Name:NELSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:NONYE
Other - Middle Name:
Other - Last Name:AKANWA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21527 ELM HURST LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5519
Mailing Address - Country:US
Mailing Address - Phone:713-504-6069
Mailing Address - Fax:
Practice Address - Street 1:18400 KATY FWY STE 590
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1291
Practice Address - Country:US
Practice Address - Phone:281-578-1200
Practice Address - Fax:281-578-1255
Is Sole Proprietor?:No
Enumeration Date:2019-05-11
Last Update Date:2019-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140111363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care