Provider Demographics
NPI:1447403613
Name:EMENIKE-OGBORU, EDITH EJOKPAOGHENE (DNP, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:EDITH
Middle Name:EJOKPAOGHENE
Last Name:EMENIKE-OGBORU
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:EDITH
Other - Middle Name:E
Other - Last Name:EMENIKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EDITH EMENIKE
Mailing Address - Street 1:29127 GARDEN RIVER CT
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-1778
Mailing Address - Country:US
Mailing Address - Phone:614-599-3900
Mailing Address - Fax:
Practice Address - Street 1:6550 FANNIN ST STE 1101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2740
Practice Address - Country:US
Practice Address - Phone:614-599-3900
Practice Address - Fax:281-346-8625
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-31
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131119363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily