Healthcare Provider Details

I. General information

NPI: 1124945829
Provider Name (Legal Business Name): FAITH NNEKA NWOKOLO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N WEST ST
DOYLESTOWN PA
18901-2366
US

IV. Provider business mailing address

1021 WINFIELD CT
LANSDALE PA
19446-4363
US

V. Phone/Fax

Practice location:
  • Phone: 215-345-5300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP035832
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: