Individual
OGHENEYEROVWO FAVOUR DUKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1101 CAMINO LA COSTA, AUSTIN, TX 78752-3930
(512) 478-4939
Mailing address
1101 CAMINO LA COSTA, AUSTIN, TX 78752-3930
(512) 478-4939
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1144243
TX
363LP0200X
Pediatric Nurse Practitioner
202326948
TX
Other
Enumeration date
05/13/2016
Last updated
03/10/2025
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