Provider Demographics
NPI:1669730255
Name:IRUKA, ELIZABETH NKECHINYERE (RN)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:NKECHINYERE
Last Name:IRUKA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 SOUTH GREEN ROAD
Mailing Address - Street 2:
Mailing Address - City:PALMVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:78572
Mailing Address - Country:US
Mailing Address - Phone:956-867-0993
Mailing Address - Fax:956-627-3872
Practice Address - Street 1:237 SOUTH GREEN ROAD
Practice Address - Street 2:
Practice Address - City:PALMVIEW
Practice Address - State:TX
Practice Address - Zip Code:78572
Practice Address - Country:US
Practice Address - Phone:956-867-0993
Practice Address - Fax:956-627-3872
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX704023163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical