Provider Demographics
NPI:1619210879
Name:ARONU, FORTUNATE IHUOMA (RN)
Entity Type:Individual
Prefix:MRS
First Name:FORTUNATE
Middle Name:IHUOMA
Last Name:ARONU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:766 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-4632
Mailing Address - Country:US
Mailing Address - Phone:650-276-6166
Mailing Address - Fax:
Practice Address - Street 1:766 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-4632
Practice Address - Country:US
Practice Address - Phone:650-276-6166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA785782163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse