Provider Demographics
NPI:1578201265
Name:EMEREUWAONU, ONYEKACHI BERNADETTE (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:ONYEKACHI
Middle Name:BERNADETTE
Last Name:EMEREUWAONU
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:ONYEKACHI
Other - Middle Name:BERNADETTE
Other - Last Name:OPARAUGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6528 BLACK OAKS ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-2045
Mailing Address - Country:US
Mailing Address - Phone:702-592-6219
Mailing Address - Fax:
Practice Address - Street 1:6528 BLACK OAKS ST
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89084-2045
Practice Address - Country:US
Practice Address - Phone:702-592-6219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV854514363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health