Provider Demographics
NPI:1922511799
Name:UWAYZOR, OMEMIYERE SHEILA
Entity Type:Individual
Prefix:
First Name:OMEMIYERE
Middle Name:SHEILA
Last Name:UWAYZOR
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 1:9737 MOUNT PISGAH RD APT 1202
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-2017
Mailing Address - Country:US
Mailing Address - Phone:443-985-4461
Mailing Address - Fax:
Practice Address - Street 1:9737 MOUNT PISGAH RD APT 1202
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-2017
Practice Address - Country:US
Practice Address - Phone:443-985-4461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-14
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR187561363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care