Provider Demographics
NPI:1174133938
Name:ONYIA, NGOZI THERESA (APRN-CNP)
Entity type:Individual
Prefix:
First Name:NGOZI
Middle Name:THERESA
Last Name:ONYIA
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8613 RUSSELL DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-4842
Mailing Address - Country:US
Mailing Address - Phone:214-537-7140
Mailing Address - Fax:
Practice Address - Street 1:411 N WASHINGTON AVE STE 5200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1778
Practice Address - Country:US
Practice Address - Phone:855-204-2502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-06
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1007953363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1007953OtherTEXAS BOARD OF NURSING