Individual provider · Type 1 NPI
Eziaha Victor Ihediwah
Psychiatric/Mental Health Nurse Practitioner · Dallas, TX
NPI number
1447965660
Active
Practice location
6060 N Central Expy Ste 500
Dallas, TX 75206-5249
Mailing address
1019 Shackelford Ln
Forney, TX 75126-5096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1104379 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1447965660
Eziaha Victor Ihediwah's National Provider Identifier is 1447965660, issued on Jan 23, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Dallas, TX. The record was last updated on May 15, 2026.