Provider Demographics
NPI:1720531130
Name:ANYANWU, UJU (FNP)
Entity Type:Individual
Prefix:
First Name:UJU
Middle Name:
Last Name:ANYANWU
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 SCRIPTURE ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-4321
Mailing Address - Country:US
Mailing Address - Phone:940-591-6009
Mailing Address - Fax:
Practice Address - Street 1:2601 SCRIPTURE ST
Practice Address - Street 2:SUITE 101
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4321
Practice Address - Country:US
Practice Address - Phone:940-591-6009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131340363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily