Healthcare Provider Details

I. General information

NPI: 1942123609
Provider Name (Legal Business Name): JUSTICE UWAZURIKE DNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 E 23RD ST
FREMONT NE
68025-2303
US

IV. Provider business mailing address

PO BOX 2797 OMAHA, NE 68103 - 2797
OMAHA NE
68103-2797
US

V. Phone/Fax

Practice location:
  • Phone: 402-354-4230
  • Fax:
Mailing address:
  • Phone: 402-354-4230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number117112
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: