Provider Demographics
NPI:1821047820
Name:EZEJI, NGOZI EDITH (RN,C)
Entity Type:Individual
Prefix:MRS
First Name:NGOZI
Middle Name:EDITH
Last Name:EZEJI
Suffix:
Gender:F
Credentials:RN,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12827 KITTY BROOK LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-3721
Mailing Address - Country:US
Mailing Address - Phone:713-721-5944
Mailing Address - Fax:713-726-8530
Practice Address - Street 1:12827 KITTY BROOK LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-3721
Practice Address - Country:US
Practice Address - Phone:713-721-5944
Practice Address - Fax:713-726-8530
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX567655163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse