Healthcare Provider Details

I. General information

NPI: 1952670291
Provider Name (Legal Business Name): MRS. NKEIRU UWAZIE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2011
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 PARK PLACE SE
ATLANTA GA
30303
US

IV. Provider business mailing address

PO BOX 20061
ATLANTA GA
30325-0061
US

V. Phone/Fax

Practice location:
  • Phone: 404-616-4444
  • Fax: 404-616-4737
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN185085
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN 185085
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: