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NPI Code Detail

MEDICARE: FLORENCE EKENE NWANETY FNP

MEDICARE:   FLORENCE EKENE NWANETY  FNP
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
1363L00000XNurse PractitionerRN2364523MA
2363L00000XNurse Practitioner344924NY
3363LF0000XFamily Nurse PractitionerSP025846PA
4363L00000XNurse Practitioner0024177487VA

General Provider Information

NPI Number : 1497159263
Entity Type Code : Individual
Provider Name (Legal Business Name) : FLORENCE EKENE NWANETY FNP
Provider Business Mailing Address
First Line : PO BOX 746871
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6871
Country : US
Telephone Number : 773-352-1515
Fax Number : 312-929-0373
Provider Business Practice Location Address
First Line : 6206 N MILITARY HWY STE H
Second Line :
City : NORFOLK
State : VA
Zip : 23518-5447
Country : US
Telephone Number : 757-271-5282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2014
Last Update Date : 08/22/2025

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