Mecah A Idikwu, NP
Nurse Practitioner, Psych/Mental Health in Lake Charles, LA. Individual provider (NPI-1).
NPI number1699447482
StatusActive
Last updated in NPPESApr 4, 2023
Details
- NPI
- 1699447482
- Entity type
- Individual (NPI-1)
- Name
- Mecah A Idikwu
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2021
- Certification date
- Apr 4, 2023
- Last updated
- Apr 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 223391 | LA | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 865421 | TX |
Practice location
2000 Opelousas StLake Charles, LA 70601-2641
Phone 337-439-9983 · Fax 337-439-8898
Mailing address
2000 Opelousas StLake Charles, LA 70601-2641
Phone 337-439-9983 · Fax 337-439-8898
Other practice locations
5422 Mersea Dr
Katy, TX 77449-7466
Katy, TX 77449-7466
Phone 410-456-4582
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