Individual
ELIZABETH IKENYEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
623 VISTA VERDE DR, GRAND PRAIRIE, TX 75051-4453
(214) 923-8252
Mailing address
539 W COMMERCE ST STE 1102, DALLAS, TX 75208-1953
(469) 892-0321
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1063458
TX
Other
Enumeration date
04/28/2022
Last updated
10/16/2024
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