Provider Demographics
NPI:1730517533
Name:ANTHONY, JULIANA NNEKA (NP-C)
Entity type:Individual
Prefix:MRS
First Name:JULIANA
Middle Name:NNEKA
Last Name:ANTHONY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MRS
Other - First Name:JULIANA
Other - Middle Name:NNEKA
Other - Last Name:UGWUIBE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP-C
Mailing Address - Street 1:8507 ROSE GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5363
Mailing Address - Country:US
Mailing Address - Phone:713-732-7284
Mailing Address - Fax:
Practice Address - Street 1:8507 ROSE GARDEN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5363
Practice Address - Country:US
Practice Address - Phone:713-732-7284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-15
Last Update Date:2017-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134865363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily