Provider Demographics
NPI:1467931741
Name:EKHATOR, NEHIKHARE EVANS (RN)
Entity Type:Individual
Prefix:
First Name:NEHIKHARE
Middle Name:EVANS
Last Name:EKHATOR
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5002 AMBER VALLEY PKWY S APT 2Q04
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-8700
Mailing Address - Country:US
Mailing Address - Phone:701-720-9844
Mailing Address - Fax:
Practice Address - Street 1:5002 AMBER VALLEY PKWY S APT 2Q04
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-8700
Practice Address - Country:US
Practice Address - Phone:701-720-9844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2461613163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine