Provider Demographics
NPI:1396084430
Name:ERUVWETERE, EUNICE EDIRI (NP-C)
Entity type:Individual
Prefix:MRS
First Name:EUNICE
Middle Name:EDIRI
Last Name:ERUVWETERE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MRS
Other - First Name:EUNICE
Other - Middle Name:EDIRI
Other - Last Name:ERUVWETERE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP-C
Mailing Address - Street 1:2002 HOLCOMBE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4211
Mailing Address - Country:US
Mailing Address - Phone:713-791-1414
Mailing Address - Fax:713-794-7883
Practice Address - Street 1:2002 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4211
Practice Address - Country:US
Practice Address - Phone:713-791-1414
Practice Address - Fax:713-794-7883
Is Sole Proprietor?:No
Enumeration Date:2013-02-09
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX659915363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily