1083167886 NPI number — MS. HOPE IDORENYIN ESSIEN DNP, PMHNP-BC, FNP

Table of content: MS. HOPE IDORENYIN ESSIEN DNP, PMHNP-BC, FNP (NPI 1083167886)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083167886 NPI number — MS. HOPE IDORENYIN ESSIEN DNP, PMHNP-BC, FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ESSIEN
Provider First Name:
HOPE
Provider Middle Name:
IDORENYIN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
DNP, PMHNP-BC, FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ESSIEN
Provider Other First Name:
IDORENYIN
Provider Other Middle Name:
ESSIEN
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1083167886
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/04/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14526 OLD KATY RD STE 22514526
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77079-1021
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-344-3617
Provider Business Mailing Address Fax Number:
281-306-6920

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3414 NORWICH GARDENS LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FULSHEAR
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77441-1470
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-359-4911
Provider Business Practice Location Address Fax Number:
832-437-2534
Provider Enumeration Date:
07/27/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  AP131206 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LP2300X , with the licence number: AP131206 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LP0808X , with the licence number: AP131206 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)