Organization
ABLE INTEGRATIVE PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NNEKA EZINWANNE IKEDINMA (MANAGING MEMBER)
(507) 629-0598
Entity
Organization
Contact information
Practice address
17822 PLANTERS PATH LN, RICHMOND, TX 77407-5183
(610) 401-3870
Mailing address
17822 PLANTERS PATH LN, RICHMOND, TX 77407-5183
(610) 401-3870
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
04/16/2024
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