Provider Demographics
NPI:1144592213
Name:NWUZOR, NNEOMA AKWARANDU (NYS RN)
Entity Type:Individual
Prefix:
First Name:NNEOMA
Middle Name:AKWARANDU
Last Name:NWUZOR
Suffix:
Gender:F
Credentials:NYS RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8625 VAN WYCK EXPY
Mailing Address - Street 2:330
Mailing Address - City:BRIARWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11435-2931
Mailing Address - Country:US
Mailing Address - Phone:347-418-7456
Mailing Address - Fax:
Practice Address - Street 1:8625 VAN WYCK EXPY
Practice Address - Street 2:330
Practice Address - City:BRIARWOOD
Practice Address - State:NY
Practice Address - Zip Code:11435-2931
Practice Address - Country:US
Practice Address - Phone:347-418-7456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY649829-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY$$$$$$$$$Medicaid