Provider Demographics
NPI:1154597748
Name:IRIKANNU, UGOCHI U (FNP-C, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:UGOCHI
Middle Name:U
Last Name:IRIKANNU
Suffix:
Gender:F
Credentials:FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2016 MCILHENNY ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-1312
Mailing Address - Country:US
Mailing Address - Phone:888-411-5039
Mailing Address - Fax:888-465-0368
Practice Address - Street 1:2016 MCILHENNY ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-1312
Practice Address - Country:US
Practice Address - Phone:888-411-5039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-02
Last Update Date:2024-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP115729363LF0000X, 363LP0808X
COC-APN.0101841-C-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily