Provider Demographics
NPI:1417916214
Name:WIREKO, BELINDA S (CNP)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:S
Last Name:WIREKO
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BELINDA WIREKO 7296 TARRAGON COURT
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-5540
Mailing Address - Country:US
Mailing Address - Phone:513-759-6165
Mailing Address - Fax:
Practice Address - Street 1:BELINDA WIREKO 7296 TARRAGON COURT
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-5540
Practice Address - Country:US
Practice Address - Phone:513-759-6165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 266509163W00000X
OHCOA 10402-NP363L00000X
OHNP 10402363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2972065Medicaid
OHNP10402OtherNURSE PRACTITIONER
OHNP10402OtherNURSE PRACTITIONER