Provider Demographics
NPI:1407261654
Name:UMEZURIKE, CHINYERE DELICIA (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:CHINYERE
Middle Name:DELICIA
Last Name:UMEZURIKE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 N HICKORY AVE
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-3229
Mailing Address - Country:US
Mailing Address - Phone:410-638-5333
Mailing Address - Fax:410-638-7440
Practice Address - Street 1:10513 VINCENT RD
Practice Address - Street 2:
Practice Address - City:WHITE MARSH
Practice Address - State:MD
Practice Address - Zip Code:21162-1922
Practice Address - Country:US
Practice Address - Phone:410-335-3657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-26
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR135902363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily