Individual
NGUVAN STEPHANIE IKOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2685 GRAND COLONIAL ST, GRAND PRAIRIE, TX 75054-0258
(817) 371-3906
Mailing address
2685 GRAND COLONIAL ST, GRAND PRAIRIE, TX 75054-0258
(817) 371-3906
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1206725
TX
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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