MS. ALICE ITA UDEOBONG NPI 1700966579

NPI Information

NPI: 1700966579
Provider Name: MS. ALICE ITA UDEOBONG
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

Address:
7402 PAVILION DR
HOUSTON, TX
ZIP 77083
Phone: (832) 886-4539
Get Directions

MS. Alice Ita Udeobong is a home health registered nurse in Houston, TX. MS. Alice Ita Udeobong NPI is 1700966579. 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:

7402 PAVILION DR
HOUSTON, TX
ZIP 77083-927
Phone: (832) 886-4539
Fax: (832) 886-4690

The enumeration date for this NPI number is 10/16/2006 and was last updated on 5/13/2019.

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	390200000X	Student in an Organized Health Care Education/Training Program		9809	TEXAS	No
2	163WH0200X	Registered Nurse	Home Health	011219	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9809	OTHER	TEXAS	CHES

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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