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NPI Code Detail

MEDICARE: MR. UCHENNA EKWONYE RN

MEDICARE: MR. UCHENNA EKWONYE 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 NurseR181213MD
2164W00000XLicensed Practical NurseLP44931MD
3376K00000XNurse's AideA00127050MD

General Provider Information

NPI Number : 1679991822
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. UCHENNA EKWONYE RN
Provider Business Mailing Address
First Line : 5310 OLD COURT RD STE 105
Second Line :
City : RANDALLSTOWN
State : MD
Zip : 21133-5281
Country : US
Telephone Number : 443-687-2527
Fax Number :
Provider Business Practice Location Address
First Line : 5310 OLD COURT RD STE 105
Second Line :
City : RANDALLSTOWN
State : MD
Zip : 21133-5281
Country : US
Telephone Number : 443-687-2527
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2014
Last Update Date : 04/04/2014

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