Provider Demographics
NPI:1922850528
Name:OHWOWHIAGBESE, VERONICA I (APRN)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:I
Last Name:OHWOWHIAGBESE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MRS
Other - First Name:VERONICA
Other - Middle Name:I
Other - Last Name:OHWOWHIAGBESE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:680 OLD JOHNSON RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-6251
Mailing Address - Country:US
Mailing Address - Phone:770-335-1202
Mailing Address - Fax:
Practice Address - Street 1:680 OLD JOHNSON RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-6251
Practice Address - Country:US
Practice Address - Phone:770-335-1202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA255847163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice