Individual provider · Type 1 NPI
Isimenmen Etakibuebu, DNP, M.ED., APRN
Psychiatric/Mental Health Nurse Practitioner · Austin, TX
NPI number
1679102883
Active
Practice location
1631 E 2nd St Ste D
Austin, TX 78702-4491
Fax (512) 476-1469
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 988738 (TX) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1157891 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1679102883
Isimenmen Etakibuebu, DNP, M.ED., APRN's National Provider Identifier is 1679102883, issued on Apr 8, 2020. 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 Jan 19, 2025.