Provider Demographics
NPI:1972101699
Name:CHEPKWONY, ABDI (APRN, FNP-C)
Entity Type:Individual
Prefix:MR
First Name:ABDI
Middle Name:
Last Name:CHEPKWONY
Suffix:
Gender:M
Credentials: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 1:9725 HOMESTEAD RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77016-4403
Mailing Address - Country:US
Mailing Address - Phone:832-717-2780
Mailing Address - Fax:832-717-2780
Practice Address - Street 1:9725 HOMESTEAD RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77016-4403
Practice Address - Country:US
Practice Address - Phone:832-717-2780
Practice Address - Fax:832-717-2781
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-14
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1014295363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily