Provider Demographics
NPI:1265127278
Name:AKUANYIONWU, KATE CHIZOBA (APN, MSN)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:CHIZOBA
Last Name:AKUANYIONWU
Suffix:
Gender:F
Credentials:APN, MSN
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:CHIZOBA
Other - Last Name:NWABUEZE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:445 MORRIS AVE APT C3
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-1137
Mailing Address - Country:US
Mailing Address - Phone:973-687-4153
Mailing Address - Fax:
Practice Address - Street 1:445 MORRIS AVE APT C3
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1137
Practice Address - Country:US
Practice Address - Phone:973-687-4153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01445400363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health