# IYABO MERCY OMIDIWURA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750864799
- **Gender:** F
- **Credential:** APRN-CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 952285 | TX | — |
| 363L00000X | Nurse Practitioner | 1100163 | TX | Yes |
| 363L00000X | Nurse Practitioner | AC008119 | MD | — |
| 363L00000X | Nurse Practitioner | AC008119 | TX | — |

## Other

- **Enumeration date:** 09/14/2018
- **Last updated:** 05/03/2026