Provider Demographics
NPI:1568630945
Name:ANONYUO, NGOZI PHILOMENA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:NGOZI
Middle Name:PHILOMENA
Last Name:ANONYUO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12006 SNAPSHOT CT
Mailing Address - Street 2:
Mailing Address - City:NOKESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20181-3674
Mailing Address - Country:US
Mailing Address - Phone:614-905-6149
Mailing Address - Fax:
Practice Address - Street 1:12006 SNAPSHOT CT
Practice Address - Street 2:
Practice Address - City:NOKESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20181-3674
Practice Address - Country:US
Practice Address - Phone:614-905-6149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.372807163W00000X
VA0024186257363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse