Individual provider · Type 1 NPI
Olivia Chinonso Iheanacho
Psychiatric/Mental Health Nurse Practitioner · Austin, TX
NPI number
1154851129
Active
Practice location
4131 Spicewood Springs Rd
Austin, TX 78759-8661
Fax (512) 732-2124
Mailing address
1430 Collier St
Austin, TX 78704-2911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 835635 (TX) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1105564 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1154851129
Olivia Chinonso Iheanacho's National Provider Identifier is 1154851129, issued on Jun 13, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Austin, TX. The record was last updated on Oct 26, 2023.