Provider Demographics
NPI:1255764130
Name:ONWUKA, UCHECHI I (LPN)
Entity type:Individual
Prefix:MS
First Name:UCHECHI
Middle Name:I
Last Name:ONWUKA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-6706
Mailing Address - Country:US
Mailing Address - Phone:845-562-9486
Mailing Address - Fax:
Practice Address - Street 1:36 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-6706
Practice Address - Country:US
Practice Address - Phone:845-562-9486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2922301164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse