Healthcare Provider Details

I. General information

NPI: 1336957026
Provider Name (Legal Business Name): UZOMA CHIZOBA ONYEGBULAM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2024
Last Update Date: 12/27/2024
Certification Date: 12/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5746 NAHANT AVE
CINCINNATI OH
45224-2915
US

IV. Provider business mailing address

5746 NAHANT AVE
CINCINNATI OH
45224-2915
US

V. Phone/Fax

Practice location:
  • Phone: 513-591-9158
  • Fax:
Mailing address:
  • Phone: 513-591-9158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0800X
TaxonomyNeuroscience Registered Nurse
License NumberRN459824
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN459824
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: