Healthcare Provider Details

I. General information

NPI: 1538095948
Provider Name (Legal Business Name): DIANA NGOZI ONWU NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1167 NOSTRAND AVE
BROOKLYN NY
11225-5417
US

IV. Provider business mailing address

11551 237TH ST
ELMONT NY
11003-3924
US

V. Phone/Fax

Practice location:
  • Phone: 347-419-6295
  • Fax:
Mailing address:
  • Phone: 347-419-6295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number754835-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: