Provider Demographics
NPI:1770213605
Name:OGBUNAMIRI, WINIFRED OGBUNAMIRI (NP)
Entity Type:Individual
Prefix:MRS
First Name:WINIFRED
Middle Name:OGBUNAMIRI
Last Name:OGBUNAMIRI
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:113 GLOUCESTER BLVD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-8330
Mailing Address - Country:US
Mailing Address - Phone:215-681-1972
Mailing Address - Fax:302-378-1749
Practice Address - Street 1:1601 KIRKWOOD HWY
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-4917
Practice Address - Country:US
Practice Address - Phone:302-633-5476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEL8-0010327363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty