Provider Demographics
NPI:1710215561
Name:IDOWU, HOPE IBIRONKE
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:IBIRONKE
Last Name:IDOWU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HOPE
Other - Middle Name:IBIRONKE
Other - Last Name:IDOWU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LVN
Mailing Address - Street 1:17034 BLUE MIST CIR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-4825
Mailing Address - Country:US
Mailing Address - Phone:281-494-6234
Mailing Address - Fax:281-494-2140
Practice Address - Street 1:17034 BLUE MIST CIR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-4825
Practice Address - Country:US
Practice Address - Phone:281-494-6234
Practice Address - Fax:281-494-2140
Is Sole Proprietor?:No
Enumeration Date:2009-12-04
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX221475164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse