Provider Demographics
NPI:1437342250
Name:KALU, NGOZI GLADYS (AGNP-C)
Entity Type:Individual
Prefix:
First Name:NGOZI
Middle Name:GLADYS
Last Name:KALU
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4411 AVERSA DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3809
Mailing Address - Country:US
Mailing Address - Phone:832-607-9802
Mailing Address - Fax:
Practice Address - Street 1:4411 AVERSA DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-3809
Practice Address - Country:US
Practice Address - Phone:832-607-9802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1032505363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health