MEDICARE: DR. OTUOMASIRICHI EUDORAH ONYEMA DNP, MPH, FNP-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	363LF0000X	Family Nurse Practitioner	2019031652	MO

General Provider Information

NPI Number	:	1861048225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OTUOMASIRICHI EUDORAH ONYEMA DNP, MPH, FNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 740019
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-0019
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3863A GRAVOIS AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63116-4657
Country	:	US
Telephone Number	:	314-888-0981
Fax Number	:

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

Provider Enumeration Date	:	08/12/2019
Last Update Date	:	12/03/2025

Similar Medicare Providers

1689624116 — DR. SREELATHA C. VARMA M.D.
Practice Location Address:

3863A GRAVOIS AVE
SAINT LOUIS, MO
63116-4657

Practice Phone: 314-888-0981
Practice Fax: 314-442-7794

1679643621 — DR. ROBERT FRANCIS MORGAN M.D.
Practice Location Address:

3863A GRAVOIS AVE
SAINT LOUIS, MO
63116-4657

Practice Phone: 314-888-0981
Practice Fax:

1649497587 — DR. NICHOLAS JAMES MARTIN PHARM. D.
Practice Location Address:

3865 GRAVOIS AVE , PHARMACY
SAINT LOUIS, MO
63116-4657

Practice Phone: 314-771-0218
Practice Fax:

1346707338 — ESTHER COPELAND FNP
Practice Location Address:

3863A GRAVOIS AVE
SAINT LOUIS, MO
63116-4657

Practice Phone: 314-888-0981
Practice Fax:

1871479758 — PLD OF SOUTH CITY PC
Practice Location Address:

3859 GRAVOIS AVE
SAINT LOUIS, MO
63116-4657

Practice Phone: 314-382-2000
Practice Fax: 314-382-2411

1427515139 — CANDICE V REED
Practice Location Address:

618 GEOFFRY LN APT B
SAINT LOUIS, MO
63132-4657

Practice Phone: 314-504-7857
Practice Fax: 314-262-4516

Directions to “ DR. OTUOMASIRICHI EUDORAH ONYEMA DNP, MPH, FNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.