Provider Demographics
NPI:1831498385
Name:ONYENWENA, JANET ULUNMA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:ULUNMA
Last Name:ONYENWENA
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-5038
Mailing Address - Country:US
Mailing Address - Phone:347-524-1599
Mailing Address - Fax:
Practice Address - Street 1:41 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-5038
Practice Address - Country:US
Practice Address - Phone:347-524-1599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-23
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF335811-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily