MEDICARE: MRS. CHINYELU CHIOMA ONYEDIKE 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
1	363LF0000X	Family Nurse Practitioner	0024164046	VA

General Provider Information

NPI Number	:	1497744627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHINYELU CHIOMA ONYEDIKE FNP

Provider Business Mailing Address
First Line	:	576 JEFFERSON AVE
Second Line	:
City	:	FORT EUSTIS
State	:	VA
Zip	:	23604-1373
Country	:	US
Telephone Number	:	757-314-7629
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 STERNBERG AVE
Second Line	:	SUITE 315,USAMEDDAC BLDG
City	:	FORT EUSTIS
State	:	VA
Zip	:	23604-1526
Country	:	US
Telephone Number	:	757-314-4350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	11/16/2022

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