Itite Oghenevwede Agiri, PMHNP-BC, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Temple, TX
NPI 1821719956 · NPPES record last updated Oct 4, 2022
Key facts
- NPI
- 1821719956
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 1095632 (TX)
- Practice address
- 1901 Veterans Memorial Dr
Temple, TX 76504-7451 - Phone
- (254) 778-4811
- NPI assigned
- Sep 7, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 760674 | TX | MD | Adult Psychiatric/Mental Health Registered Nurse |
| 1095632 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 760674 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1095632 | TX | Yes |
Addresses
Primary practice location
1901 Veterans Memorial Dr
Temple, TX 76504-7451
Mailing address
13421 Lismore LN
Pflugerville, TX 78660-5679
Phone (972) 536-3690
Other providers in Temple, TX
- Zunair Nazim Afghani
- Wilma Afunugo
- Ellen Agan
- Rashmi Agarwal
- Mana Z Agbonghae
- Matthew Lee Agius
- Emily Aguila
- Renan Antonio Aguilar-Valenzuela
- Natalie Aguilar-Wohlt
- Alexandria Aguilar
All providers in Temple, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.