Provider Demographics
NPI:1548569833
Name:MAZELI, IFEYINWA ONYEMAECHI (NP)
Entity Type:Individual
Prefix:MRS
First Name:IFEYINWA
Middle Name:ONYEMAECHI
Last Name:MAZELI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:IFEYINWA
Other - Middle Name:
Other - Last Name:ANYALEWECHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 706384
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45270-6384
Mailing Address - Country:US
Mailing Address - Phone:513-318-1188
Mailing Address - Fax:513-318-1189
Practice Address - Street 1:231 N BREIEL BLVD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45042-3807
Practice Address - Country:US
Practice Address - Phone:513-318-1188
Practice Address - Fax:513-318-1189
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN254448163W00000X
OH0030474363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse