NPI | 1740812635 |
---|---|
Doing Business As | EFFULGENCE PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | IFEOMA IROKWE Np 214-477-8167 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2020-02-07 |
Last Update Date | 2021-11-02 |