Individual provider · Type 1 NPI
Alice Ita Udeobong
Home Health Registered Nurse · Houston, TX
NPI number
1700966579
Active
Practice location
7402 Pavilion Dr
Houston, TX 77083-6927
Fax (832) 886-4690
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 9809 (TX) |
| Home Health Registered Nurse Primary | 163WH0200X | 011219 (TX) |
Home Health Registered Nurse: Definition to come...
Another provider at this address
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About NPI 1700966579
Alice Ita Udeobong's National Provider Identifier is 1700966579, issued on Oct 16, 2006. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Houston, TX. The record was last updated on May 13, 2019.