Provider Demographics
NPI:1740742063
Name:ORUSAKWE, NGOZI ANTHONIA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:NGOZI
Middle Name:ANTHONIA
Last Name:ORUSAKWE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8623 SCHOOLEY DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-3293
Mailing Address - Country:US
Mailing Address - Phone:713-988-9831
Mailing Address - Fax:713-350-6181
Practice Address - Street 1:8623 SCHOOLEY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-3293
Practice Address - Country:US
Practice Address - Phone:713-988-9831
Practice Address - Fax:713-360-6181
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140929363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily