Provider Demographics
NPI:1497945703
Name:AKANWA, ULOMA EZI (RN,MSN,FNP,BCCS)
Entity Type:Individual
Prefix:MRS
First Name:ULOMA
Middle Name:EZI
Last Name:AKANWA
Suffix:
Gender:F
Credentials:RN,MSN,FNP,BCCS
Other - Prefix:MRS
Other - First Name:ULOMA
Other - Middle Name:EZI
Other - Last Name:AKANWA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN,MSN,FNP,BCCS
Mailing Address - Street 1:14718 RICH VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-5031
Mailing Address - Country:US
Mailing Address - Phone:832-256-4483
Mailing Address - Fax:
Practice Address - Street 1:14718 RICH VALLEY LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5031
Practice Address - Country:US
Practice Address - Phone:832-256-4483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX579606171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator