Provider Demographics
NPI:1679046486
Name:ELEANYA, AMARACHI NNEOMA (MSN, FNP -BC)
Entity Type:Individual
Prefix:MRS
First Name:AMARACHI
Middle Name:NNEOMA
Last Name:ELEANYA
Suffix:
Gender:F
Credentials:MSN, FNP -BC
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Mailing Address - Street 1:6509 SLEEPY SPRING DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-6122
Mailing Address - Country:US
Mailing Address - Phone:219-765-4804
Mailing Address - Fax:
Practice Address - Street 1:333 N SHILOH RD STE 107
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-6613
Practice Address - Country:US
Practice Address - Phone:972-840-8599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-03
Last Update Date:2022-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28192026A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily