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NPI Code Detail

MEDICARE: IRENE O OMOREGIE NP

MEDICARE: IRENE O OMOREGIE NP
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
1163WP0808XPsychiatric/Mental Health Registered Nurse2021038362MO

General Provider Information

NPI Number : 1750038592
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRENE O OMOREGIE NP
Provider Business Mailing Address
First Line : 2323 E 63RD ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64130-3462
Country : US
Telephone Number : 816-235-8192
Fax Number :
Provider Business Practice Location Address
First Line : 2323 E 63RD ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64130-3462
Country : US
Telephone Number : 816-235-7443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2022
Last Update Date : 03/02/2022

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