Individual
MIRIAN AMARACHI EZIKEOHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1077939
TX
367500000X
Certified Registered Nurse Anesthetist
2255
MN
Other
Enumeration date
01/12/2017
Last updated
02/29/2024
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