Healthcare Provider Details

I. General information

NPI: 1003753419
Provider Name (Legal Business Name): UHUNOMA ANITA AGUEBOR DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 HAYES AVE
FREMONT OH
43420-2632
US

IV. Provider business mailing address

1211 GRETNA GREEN AVE
TOLEDO OH
43607-2520
US

V. Phone/Fax

Practice location:
  • Phone: 419-334-3869
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0041048
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.469646
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: