IndividualActive
Ikponmwosa Itua, MSN
NPI 1073468336 · Psychiatric/Mental Health Registered Nurse · West Fargo, ND
Provider details
- NPI number
- 1073468336
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- MSN
- Sex
- Female
- Sole proprietor
- No
- License
- R52475 (ND)
Specialties & taxonomies
Nursing Service Providers
Practice location
941 28th Ave W
West Fargo, ND 58078-8455
Phone: (929) 532-5066
Approximate (ZIP-level) locationGet directions
Mailing address
941 28th Ave W
West Fargo, ND 58078-8455
Registry dates
- Enumerated
- 2026-03-02
- Last updated
- 2026-03-02
- Certified
- 2026-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.