Ezeamama, Ayo Renee

Ezeamama, Ayo Renee is an individual health care provider with primary practice located at 400 Park Ln Suite M, Pasadena TX 77506. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ezeamama, Ayo Renee can be contacted via phone (832) 658-5230.

Contact Information

Primary practice address
400 Park Ln Suite M Pasadena TX 77506
Phone: (832) 658-5230
Fax: (713) 473-0385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209010758 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP126407 Texas

Profile Details

NPI number 1588091276
LBN Legal business name Ezeamama, Ayo Renee
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2013
Last updated Jan 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588091276 NPPES
Texas MEDICAID 3491375

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