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Individual

IRENE I IBEKWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NUSE PRACTITIONER

Contact information

Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(832) 289-1880
Mailing address
2223 BRUSHMEADE LN, SUGAR LAND, TX 77479-8826
(832) 289-1880

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
685113
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP129917
TX
363LG0600X
Gerontology Nurse Practitioner
AP129917
TX

Other

Enumeration date
09/11/2012
Last updated
06/26/2020
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