Provider Demographics
NPI:1811379191
Name:OWO, EBELE (DNP,MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:EBELE
Middle Name:
Last Name:OWO
Suffix:
Gender:F
Credentials:DNP,MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16915 MORNING DUSK DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4754
Mailing Address - Country:US
Mailing Address - Phone:713-480-1234
Mailing Address - Fax:
Practice Address - Street 1:16915 MORNING DUSK DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-4754
Practice Address - Country:US
Practice Address - Phone:713-480-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2018-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX756287163W00000X
TXAP128540363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner