Provider Demographics
NPI:1760806210
Name:ONWUANAIBE, UGONMA OGECHI (LPN)
Entity Type:Individual
Prefix:
First Name:UGONMA
Middle Name:OGECHI
Last Name:ONWUANAIBE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9120 191ST ST APT 4I
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-2871
Mailing Address - Country:US
Mailing Address - Phone:646-399-5763
Mailing Address - Fax:
Practice Address - Street 1:9120 191ST ST APT 4I
Practice Address - Street 2:
Practice Address - City:HOLLIS
Practice Address - State:NY
Practice Address - Zip Code:11423-2871
Practice Address - Country:US
Practice Address - Phone:646-399-5763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-04
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY317268-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse