Ivie Edosomwan, - Nurse Practitioner in Sugar Land, TX

Ivie Edosomwan, is a Nurse Practitioner - Psychiatric/mental Health based in Sugar Land, Texas. Ivie Edosomwan is licensed to practice in Texas (license number 1154270) and her current practice location is 14090 Southwest Fwy Ste 300, Sugar Land, Texas. She can be reached at her office (for appointments etc.) via phone at (832) 495-1488.

NPI number for Ivie Edosomwan is 1336906783 and her current mailing address is 14090 Southwest Fwy Ste 300, Sugar Land, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336906783.

Contact Information

Ivie Edosomwan,
14090 Southwest Fwy Ste 300,
Sugar Land, TX 77478-3679
(832) 495-1488
Not Available

Map and Direction




Provider's Profile

Full NameIvie Edosomwan
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location14090 Southwest Fwy Ste 300, Sugar Land, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336906783
  • Provider Enumeration Date: 03/04/2024
  • Last Update Date: 03/04/2024

Medical Identifiers

Medical identifiers for Ivie Edosomwan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336906783NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 1154270 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivie Edosomwan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ivie Edosomwan,
14090 Southwest Fwy Ste 300,
Sugar Land, TX 77478-3679

Ph: (832) 495-1488
Ivie Edosomwan,
14090 Southwest Fwy Ste 300,
Sugar Land, TX 77478-3679

Ph: (832) 495-1488

Reviews and Comments


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