Provider Demographics
NPI:1174023469
Name:CHIBUEZE, AHURUCHI JOYCE (FNP)
Entity Type:Individual
Prefix:MS
First Name:AHURUCHI
Middle Name:JOYCE
Last Name:CHIBUEZE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 TURTLE DOVE LN
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-4915
Mailing Address - Country:US
Mailing Address - Phone:469-767-3764
Mailing Address - Fax:
Practice Address - Street 1:2820 TURTLE DOVE LN
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-4915
Practice Address - Country:US
Practice Address - Phone:469-767-3764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136126363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty