Provider Demographics
NPI:1235931890
Name:ANYANWU, PRECIOUS CHINAZA (APRN, MSN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:PRECIOUS
Middle Name:CHINAZA
Last Name:ANYANWU
Suffix:
Gender:
Credentials:APRN, MSN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9550 FOREST LN STE 200
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-5965
Mailing Address - Country:US
Mailing Address - Phone:214-563-7072
Mailing Address - Fax:
Practice Address - Street 1:9550 FOREST LN STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-5965
Practice Address - Country:US
Practice Address - Phone:214-563-7072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1141320364SP0812X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0812XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Community