Healthcare Provider Details

I. General information

NPI: 1891616611
Provider Name (Legal Business Name): ANNMARIA N ONWUKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNMARIE N ONWUKA

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

831 ADAMS AVE
SCRANTON PA
18510-1008
US

IV. Provider business mailing address

831 ADAMS AVE
SCRANTON PA
18510-1008
US

V. Phone/Fax

Practice location:
  • Phone: 845-420-0354
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: