Daniel Ngozi Ezeukwu, PhD, FNP-BC, RN
Nurse Practitioner, Family in Mansfield, TX. Individual provider (NPI-1).
NPI number1992935365
StatusActive
Last updated in NPPESOct 17, 2012
Details
- NPI
- 1992935365
- Entity type
- Individual (NPI-1)
- Name
- Daniel Ngozi Ezeukwu
- Credential
- PhD, FNP-BC, RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2009
- Last updated
- Oct 17, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 719954 | TX | Yes |
| 163WC0200X | Registered Nurse, Critical Care Medicine | 719954 | TX | |
| 163WC0400X | Registered Nurse, Case Management | 719954 | TX | |
| 163WH0200X | Registered Nurse, Home Health | 719954 | TX | |
| 363L00000X | Nurse Practitioner | 719954 | TX |
Practice location
2704 Logan DrMansfield, TX 76063-5101
Phone 817-422-7410
Mailing address
2704 Logan DrMansfield, TX 76063-5101
Phone 817-422-7410
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