Provider Demographics
NPI:1407553696
Name:ONORIODE, GEORGE SILVER (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:SILVER
Last Name:ONORIODE
Suffix:
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13564
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44334-8964
Mailing Address - Country:US
Mailing Address - Phone:234-334-9632
Mailing Address - Fax:
Practice Address - Street 1:2773 GLENHAVEN AVE APT A
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-2807
Practice Address - Country:US
Practice Address - Phone:234-334-9632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.516150163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse