Provider Demographics
NPI:1629468251
Name:EZE, NGOZIKA NANCY (RN)
Entity Type:Individual
Prefix:MS
First Name:NGOZIKA
Middle Name:NANCY
Last Name:EZE
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:PO BOX 50533
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98015-0533
Mailing Address - Country:US
Mailing Address - Phone:206-617-0396
Mailing Address - Fax:
Practice Address - Street 1:1004 107TH AVE SE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6845
Practice Address - Country:US
Practice Address - Phone:206-617-0396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00170958163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse