Provider Demographics
NPI:1376056820
Name:UGURU, NNENNA K (PA-C)
Entity Type:Individual
Prefix:
First Name:NNENNA
Middle Name:K
Last Name:UGURU
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:901 W MAIN ST STE 267
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2537
Mailing Address - Country:US
Mailing Address - Phone:732-813-0018
Mailing Address - Fax:732-833-3301
Practice Address - Street 1:1203 LANGHORNE NEWTOWN RD STE 138
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1212
Practice Address - Country:US
Practice Address - Phone:215-741-3141
Practice Address - Fax:215-741-3143
Is Sole Proprietor?:No
Enumeration Date:2017-11-07
Last Update Date:2021-05-28
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant