Provider Demographics
NPI:1144600610
Name:ISIKWE, SHEELA (NP)
Entity Type:Individual
Prefix:
First Name:SHEELA
Middle Name:
Last Name:ISIKWE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 BUSINESS CENTER DR
Mailing Address - Street 2:#9102
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-1359
Mailing Address - Country:US
Mailing Address - Phone:832-741-2109
Mailing Address - Fax:
Practice Address - Street 1:255 NORTHPOINT DR STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3269
Practice Address - Country:US
Practice Address - Phone:832-300-8040
Practice Address - Fax:832-300-8041
Is Sole Proprietor?:No
Enumeration Date:2015-05-31
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138078363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily