Provider Demographics
NPI:1871073379
Name:IHEJIENE, ANNE CHINYERE
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:CHINYERE
Last Name:IHEJIENE
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 1:6334 CANYON CHASE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-6226
Mailing Address - Country:US
Mailing Address - Phone:281-762-7160
Mailing Address - Fax:
Practice Address - Street 1:6334 CANYON CHASE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-6226
Practice Address - Country:US
Practice Address - Phone:281-762-7160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2019-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140831363LF0000X
TX900422163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily