MEDICARE: UJU CLARA ONOWU NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	832561	NV

General Provider Information

NPI Number	:	1265050637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UJU CLARA ONOWU NP-C

Provider Business Mailing Address
First Line	:	PO BOX 230051
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89105-0051
Country	:	US
Telephone Number	:	702-885-5203
Fax Number	:

Provider Business Practice Location Address
First Line	:	11519 ZAGAROLO LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-3226
Country	:	US
Telephone Number	:	702-885-5203
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2020
Last Update Date	:	07/11/2020

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Directions to “ UJU CLARA ONOWU NP-C” Practice Location

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