Provider Demographics
NPI:1548643695
Name:UGBOAJA, EDITH OCHEZE (FNP-C)
Entity type:Individual
Prefix:
First Name:EDITH
Middle Name:OCHEZE
Last Name:UGBOAJA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9806 DARBY MILL LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-5050
Mailing Address - Country:US
Mailing Address - Phone:832-279-0918
Mailing Address - Fax:
Practice Address - Street 1:9806 DARBY MILL LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-5050
Practice Address - Country:US
Practice Address - Phone:832-279-0918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-08
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128076363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily