Provider Demographics
NPI:1578074407
Name:IHEMEJE, ANGELA CHIDIADI (APRN)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:CHIDIADI
Last Name:IHEMEJE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MRS
Other - First Name:ANGELA
Other - Middle Name:CHIDIADI
Other - Last Name:NJOKU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6734 PHEASANT OAK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-2002
Mailing Address - Country:US
Mailing Address - Phone:713-482-9396
Mailing Address - Fax:
Practice Address - Street 1:6734 PHEASANT OAK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-2002
Practice Address - Country:US
Practice Address - Phone:713-482-9396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-18
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134296363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily