Individual
MRS. OLUCHUKWU ANNE IFELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1023 MUIRFIELD DR, MANSFIELD, TX 76063-6634
(605) 545-6000
Mailing address
4909 HOMESTEAD ST APT 106, RAPID CITY, SD 57703-0209
(605) 545-6000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
940401
TX
163WM0705X
Medical-Surgical Registered Nurse
Primary
R053081
SD
363LA2100X
Acute Care Nurse Practitioner
1167873
TX
Other
Enumeration date
06/29/2021
Last updated
07/03/2024
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