Provider Demographics
NPI:1104258987
Name:ANYANWU, FLORENCE IJEOMA (FNP-BC)
Entity type:Individual
Prefix:
First Name:FLORENCE
Middle Name:IJEOMA
Last Name:ANYANWU
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4103 FISHER LAKE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-7977
Mailing Address - Country:US
Mailing Address - Phone:832-758-7227
Mailing Address - Fax:713-777-2333
Practice Address - Street 1:8303 SOUTHWEST FWY STE 224
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1610
Practice Address - Country:US
Practice Address - Phone:713-777-2376
Practice Address - Fax:713-777-2333
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX586961163WH0200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WH0200XNursing Service ProvidersRegistered NurseHome Health