Individual provider · Type 1 NPI
Christine Roseann Idemudia, APRN-CNP
Family Nurse Practitioner · Keller, TX
NPI number
1366192973
Active
Practice location
8739 Davis Blvd Ste 100
Keller, TX 76248-0309
Fax (888) 355-4603
Other practice locations
- 501 Commerce Way Ste 3, Clovis, NM 88101-4870 · (575) 693-9811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health & Wellness Coach | 171400000X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | 67455 (NM) |
| Family Nurse Practitioner Primary | 363LF0000X | 67455 (NM) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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- Caitlin Rose Ellis, MSN, APRN, FNP-CFamily Nurse Practitioner Keller, TX NPI 1134763113
About NPI 1366192973
Christine Roseann Idemudia, APRN-CNP's National Provider Identifier is 1366192973, issued on Mar 26, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Keller, TX. The record was last updated on Aug 5, 2026.