Individual
MS. AYO RENEE EZEAMAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
400 PARK LN, SUITE M, PASADENA, TX 77506
(832) 658-5230
(713) 473-0385
Mailing address
2100 BERING DR APT 609, HOUSTON, TX 77057-3729
(618) 203-3272
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP126407
TX
363LF0000X
Family Nurse Practitioner
209010758
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3491375
—
TX
Enumeration date
09/26/2013
Last updated
01/24/2022
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