Provider Demographics
NPI:1619713294
Name:IROH, IJEOMA MAUREEN (RN)
Entity type:Individual
Prefix:
First Name:IJEOMA
Middle Name:MAUREEN
Last Name:IROH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24950 VIA ARABELLA LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1161
Mailing Address - Country:US
Mailing Address - Phone:443-271-5273
Mailing Address - Fax:
Practice Address - Street 1:24950 VIA ARABELLA LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-1161
Practice Address - Country:US
Practice Address - Phone:443-271-5273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-03
Last Update Date:2024-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1112415163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health