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NPI Code Detail

MEDICARE: IFEOMA ONYIA RN

MEDICARE: IFEOMA ONYIA RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN300034OH
2163W00000XRegistered NurseRN258302NC

General Provider Information

NPI Number : 1154555464
Entity Type Code : Individual
Provider Name (Legal Business Name) : IFEOMA ONYIA RN
Provider Business Mailing Address
First Line : 10130 MALLARD CREEK RD STE 300
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-6001
Country : US
Telephone Number : 704-920-8389
Fax Number :
Provider Business Practice Location Address
First Line : 10130 MALLARD CREEK RD STE 300
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-6001
Country : US
Telephone Number : 704-920-8389
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2009
Last Update Date : 10/26/2022

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Directions to “ IFEOMA ONYIA RN” Practice Location

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