Provider Demographics
NPI:1013330059
Name:EMEJURU, MARIAGORETTI ADAKU (RN)
Entity Type:Individual
Prefix:MS
First Name:MARIAGORETTI
Middle Name:ADAKU
Last Name:EMEJURU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:MARIAGORETTI
Other - Middle Name:ADAKU
Other - Last Name:IBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3514 ROCHAMBEAU AVENUE #3H
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467
Mailing Address - Country:US
Mailing Address - Phone:646-696-4974
Mailing Address - Fax:
Practice Address - Street 1:3514 ROCHAMBEAU AVENUE #3H
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:646-696-4974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-28
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY628257163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health