Individual provider · Type 1 NPI
Princess Kukua Ahedor
Psychiatric/Mental Health Nurse Practitioner · El Paso, TX
NPI number
1215401906
Active
Practice location
416 N Stanton St Ste 600D
El Paso, TX 79901-1245
Fax (982) 268-0069
Mailing address
2712 Tierra Murcia St
El Paso, TX 79938-2220
Other practice locations
- 920 N Telshor Blvd Ste E, Las Cruces, NM 88011-8279 · (915) 955-2238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP139886 (TX) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP139886 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1215401906
Princess Kukua Ahedor's National Provider Identifier is 1215401906, issued on Jan 15, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in El Paso, TX. The record was last updated on Sep 15, 2026.