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Individual

EFE O IGHOVOYIVWI

Active
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Individual

EFE O IGHOVOYIVWI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
892725
TX
363L00000X
Nurse Practitioner
1006436
TX
363LF0000X
Family Nurse Practitioner
Primary
1006436
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428509001
—
TX
01
—
428509002
CSHCN MEDICAID
TX
01
—
8QD335
BCBS
TX
Enumeration date
01/24/2020
Last updated
05/09/2023
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