Individual
MILLICENT IFEOMA ELUMELU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16155 MISSION GLEN DR, HOUSTON, TX 77083-5381
(832) 373-2063
Mailing address
16155 MISSION GLEN DR, HOUSTON, TX 77083-5381
(832) 373-2063
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
323800
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1133365
TX
Other
Enumeration date
10/29/2018
Last updated
05/28/2024
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