Healthcare Provider Details

I. General information

NPI: 1851881890
Provider Name (Legal Business Name): CHUKWUEMEKA C UZOMA RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2018
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 W MCMILLAN ST APT 2
CINCINNATI OH
45219-3201
US

IV. Provider business mailing address

324 W MCMILLAN ST APT 2
CINCINNATI OH
45219-3201
US

V. Phone/Fax

Practice location:
  • Phone: 513-477-9652
  • Fax:
Mailing address:
  • Phone: 513-477-9652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN.365660
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: