Provider Demographics
NPI:1467867333
Name:EKEKE, CHRISTY EBELECHUKWU (RN, APRN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:EBELECHUKWU
Last Name:EKEKE
Suffix:
Gender:F
Credentials:RN, APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4106 FERRO ST
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-5245
Mailing Address - Country:US
Mailing Address - Phone:281-235-8149
Mailing Address - Fax:
Practice Address - Street 1:4106 FERRO ST
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-5245
Practice Address - Country:US
Practice Address - Phone:281-235-8149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP125718363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily