ELIZABETH KERUBO OTUCHO NPI 1497357206

NPI Information

NPI: 1497357206
Provider Name: ELIZABETH KERUBO OTUCHO
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
9330 LBJ FWY STE 948
DALLAS, TX
ZIP 75243
Phone: (972) 972-4850
Get Directions

Elizabeth Kerubo Otucho is a psychiatric/mental health nurse practitioner in Dallas, TX. Elizabeth Kerubo Otucho NPI is 1497357206. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9330 LBJ FWY STE 948
DALLAS, TX
ZIP 75243-436
Phone: (972) 972-4850

The NPI 1497357206 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/16/2020 and was last updated on 1/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	1019612	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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