Healthcare Provider Details

I. General information

NPI: 1972494953
Provider Name (Legal Business Name): ONYEACHU FAMILY NURSE PRACTITIONER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 CHESTER PIKE STE 318
SHARON HILL PA
19079-1400
US

IV. Provider business mailing address

800 CHESTER PIKE
SHARON HILL PA
19079-1400
US

V. Phone/Fax

Practice location:
  • Phone: 215-519-7794
  • Fax:
Mailing address:
  • Phone: 215-519-7794
  • Fax: 267-710-4243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HARRIET A ONYEACHU
Title or Position: OWNER OF ENTITY
Credential:
Phone: 215-519-7794