Provider Demographics
NPI:1184098659
Name:NZEAKO, LOVE CHIBUIHE
Entity type:Individual
Prefix:MRS
First Name:LOVE
Middle Name:CHIBUIHE
Last Name:NZEAKO
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:LOVE
Other - Middle Name:CHIBUIHE
Other - Last Name:NZEAKO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNP-BC
Mailing Address - Street 1:9912 LINDEN HILL RD
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-6152
Mailing Address - Country:US
Mailing Address - Phone:410-917-6244
Mailing Address - Fax:410-363-7809
Practice Address - Street 1:9912 LINDEN HILL RD
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-6152
Practice Address - Country:US
Practice Address - Phone:410-917-6244
Practice Address - Fax:410-363-7809
Is Sole Proprietor?:No
Enumeration Date:2015-11-21
Last Update Date:2015-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR133172363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily