Provider Demographics
NPI:1790106433
Name:IWUOHA, ZITA
Entity Type:Individual
Prefix:
First Name:ZITA
Middle Name:
Last Name:IWUOHA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 WALLACE AVE
Mailing Address - Street 2:FLOUR 4
Mailing Address - City:WILKINSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15221-2312
Mailing Address - Country:US
Mailing Address - Phone:412-247-7950
Mailing Address - Fax:412-247-7959
Practice Address - Street 1:807 WALLACE AVE
Practice Address - Street 2:FLOUR 4
Practice Address - City:WILKINSBURG
Practice Address - State:PA
Practice Address - Zip Code:15221-2312
Practice Address - Country:US
Practice Address - Phone:412-247-7950
Practice Address - Fax:412-247-7959
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-24
Last Update Date:2013-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA588804163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse