Provider Demographics
NPI:1568353621
Name:ELENDU, MARY NKIRUKA
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:NKIRUKA
Last Name:ELENDU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3808 CLIFFSIDE DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76208-5981
Mailing Address - Country:US
Mailing Address - Phone:619-995-6962
Mailing Address - Fax:
Practice Address - Street 1:3808 CLIFFSIDE DR
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76208-5981
Practice Address - Country:US
Practice Address - Phone:619-995-6962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No171400000XOther Service ProvidersHealth & Wellness Coach