Individual
MR. IZUCHUKWU MCIVER EMEJULU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1251 ELBOWOODS LOOP, NEW TOWN, ND 58763
(701) 627-4750
Mailing address
1235 LAKE POINTE PKWY STE 104, SUGAR LAND, TX 77478-4077
(844) 824-8775
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
803843
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP133488
TX
Other
Enumeration date
03/06/2017
Last updated
04/14/2025
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