MEDICARE: DAVID ONYIEGO PMHNP BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	315675	NC

General Provider Information

NPI Number	:	1558220988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ONYIEGO PMHNP BC

Provider Business Mailing Address
First Line	:	510 E PETTIGREW ST APT 117
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27701-4865
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4700 FALLS OF NEUSE RD STE 355
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-6275
Country	:	US
Telephone Number	:	919-876-3130
Fax Number	:

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

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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