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NPI Code Detail

MEDICARE: MISS ANN EGO NWABUOBI LPN

MEDICARE:  MISS ANN EGO NWABUOBI  LPN
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
1164W00000XLicensed Practical Nurse304742-1NY

General Provider Information

NPI Number : 1710276746
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ANN EGO NWABUOBI LPN
Provider Business Mailing Address
First Line : 2432 UNIVERSITY AVE
Second Line : APT.1E
City : BRONX
State : NY
Zip : 10468-5605
Country : US
Telephone Number : 917-753-0188
Fax Number :
Provider Business Practice Location Address
First Line : 2432 UNIVERSITY AVE
Second Line : APT.1E
City : BRONX
State : NY
Zip : 10468-5605
Country : US
Telephone Number : 917-753-0188
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2011
Last Update Date : 03/30/2011

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Directions to “ MISS ANN EGO NWABUOBI LPN” Practice Location

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