Provider Demographics
NPI:1023315934
Name:NKWELLE, BEATRICE NGONDE (APRN)
Entity type:Individual
Prefix:MRS
First Name:BEATRICE
Middle Name:NGONDE
Last Name:NKWELLE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 842119
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77284-2119
Mailing Address - Country:US
Mailing Address - Phone:281-509-3585
Mailing Address - Fax:832-203-4491
Practice Address - Street 1:16851 ANNA GREEN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-1240
Practice Address - Country:US
Practice Address - Phone:832-594-1609
Practice Address - Fax:832-203-4491
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-13
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX729636363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily