Provider Demographics
NPI:1548744659
Name:AMUNEKE, ALICIA ADANNA (DNP,APRN,FNP-C,CMSRN)
Entity Type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:ADANNA
Last Name:AMUNEKE
Suffix:
Gender:F
Credentials:DNP,APRN,FNP-C,CMSRN
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Mailing Address - Street 1:1730 BERKOFF DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5505
Mailing Address - Country:US
Mailing Address - Phone:832-359-5443
Mailing Address - Fax:281-238-5014
Practice Address - Street 1:3950 SPENCER HWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1206
Practice Address - Country:US
Practice Address - Phone:832-925-7600
Practice Address - Fax:832-831-1180
Is Sole Proprietor?:No
Enumeration Date:2018-09-24
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX799475163W00000X
TX1133698363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse