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NPI Code Detail

MEDICARE: SOLOMON SOROIBE OKWUEZE PMHNP-B

MEDICARE: SOLOMON SOROIBE OKWUEZE PMHNP-B
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner0024182575VA

General Provider Information

NPI Number : 1700554763
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOLOMON SOROIBE OKWUEZE PMHNP-B
Provider Business Mailing Address
First Line : 3611 BOULEVARD
Second Line :
City : COLONIAL HEIGHTS
State : VA
Zip : 23834-1344
Country : US
Telephone Number : 804-967-4850
Fax Number :
Provider Business Practice Location Address
First Line : 3611 BOULEVARD
Second Line :
City : COLONIAL HEIGHTS
State : VA
Zip : 23834-1344
Country : US
Telephone Number : 804-547-9564
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2021
Last Update Date : 06/25/2025

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Directions to “ SOLOMON SOROIBE OKWUEZE PMHNP-B” Practice Location

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