Provider Demographics
NPI:1093215659
Name:ANIEKWE, NANCY EBELE (RN)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:EBELE
Last Name:ANIEKWE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15102 BEECH FORK LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-2795
Mailing Address - Country:US
Mailing Address - Phone:832-573-4131
Mailing Address - Fax:
Practice Address - Street 1:15102 BEECH FORK LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-2795
Practice Address - Country:US
Practice Address - Phone:832-573-4131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX539284163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse