Provider Demographics
NPI:1275145930
Name:ONYEJEKWE, ELIZABETH CHINURU (PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:CHINURU
Last Name:ONYEJEKWE
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:170 WOODSTREAM BLVD
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22556-4629
Mailing Address - Country:US
Mailing Address - Phone:240-320-4996
Mailing Address - Fax:540-783-4440
Practice Address - Street 1:170 WOODSTREAM BLVD
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22556-4629
Practice Address - Country:US
Practice Address - Phone:240-320-4996
Practice Address - Fax:703-912-4240
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-23
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024179954363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health