Provider Demographics
NPI:1417666579
Name:EKECHUKWU, BEATRICE CHISARA
Entity type:Individual
Prefix:DR
First Name:BEATRICE
Middle Name:CHISARA
Last Name:EKECHUKWU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 N LEE TREVINO DR STE A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-4549
Mailing Address - Country:US
Mailing Address - Phone:915-262-4664
Mailing Address - Fax:
Practice Address - Street 1:1701 N LEE TREVINO DR STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-4549
Practice Address - Country:US
Practice Address - Phone:915-262-4664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX806070163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX806070OtherTEXAS BOARD OF NURSING