Provider Demographics
NPI:1518422021
Name:ASHIOGWU, VERA N (CRNP-FAMILY)
Entity Type:Individual
Prefix:
First Name:VERA
Middle Name:N
Last Name:ASHIOGWU
Suffix:
Gender:F
Credentials:CRNP-FAMILY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8713 WELBECK WAY
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-4309
Mailing Address - Country:US
Mailing Address - Phone:240-543-6033
Mailing Address - Fax:
Practice Address - Street 1:8713 WELBECK WAY
Practice Address - Street 2:
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20886-4309
Practice Address - Country:US
Practice Address - Phone:240-543-6033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-08
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR205122163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse