Provider Demographics
NPI:1326553462
Name:IYOHA, FLORENCE ISI
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:ISI
Last Name:IYOHA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FLORENCE
Other - Middle Name:ISI
Other - Last Name:IYOHA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:10907 VANDERFORD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-4764
Mailing Address - Country:US
Mailing Address - Phone:713-374-5121
Mailing Address - Fax:
Practice Address - Street 1:10907 VANDERFORD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-4764
Practice Address - Country:US
Practice Address - Phone:713-374-5121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-12
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2016029834363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
2016029834OtherAMERICAN NURSES CREDENTIALING CENTER