PRINCESS KUKUA AHEDOR NPI 1215401906

NPI Information

  • NPI: 1215401906
  • Provider Name: PRINCESS KUKUA AHEDOR
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1600 MEDICAL CENTER DR STE 400
    EL PASO, TX
    ZIP 79902
  • Phone: (915) 217-2163

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NPI Details

Princess Kukua Ahedor is a family nurse practitioner in El Paso, TX. Princess Kukua Ahedor NPI is 1215401906. 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:

1600 MEDICAL CENTER DR STE 400
EL PASO, TX
ZIP 79902-008
Phone: (915) 217-2163
Fax: (915) 217-2166

The NPI 1215401906 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 1/15/2019 and was last updated on 8/21/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAP139886TEXASNo
2363LF0000XNurse PractitionerFamilyAP139886TEXASYes

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: 11/21/2025

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