Provider Demographics
NPI:1508127358
Name:UWAECHIE, JOY OSOYE
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:OSOYE
Last Name:UWAECHIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 HAMLIN ST NE
Mailing Address - Street 2:APT 4
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-1330
Mailing Address - Country:US
Mailing Address - Phone:202-286-6340
Mailing Address - Fax:
Practice Address - Street 1:617 HAMLIN ST NE
Practice Address - Street 2:APT 4
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-1330
Practice Address - Country:US
Practice Address - Phone:202-286-6340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1493797374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide