Provider Demographics
NPI:1730233982
Name:IBE, EGO NINA (RNC)
Entity type:Individual
Prefix:
First Name:EGO
Middle Name:NINA
Last Name:IBE
Suffix:
Gender:F
Credentials:RNC
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1331 W GRAND PKWY N
Mailing Address - Street 2:SUITE 240
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-2710
Mailing Address - Country:US
Mailing Address - Phone:281-392-2266
Mailing Address - Fax:281-392-3147
Practice Address - Street 1:1331 W GRAND PKWY N
Practice Address - Street 2:SUITE 240
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2710
Practice Address - Country:US
Practice Address - Phone:281-392-2266
Practice Address - Fax:281-392-3147
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health