Provider Demographics
NPI:1295475432
Name:ONYECHI, AUGUSTA AZUKA (APRN)
Entity type:Individual
Prefix:MRS
First Name:AUGUSTA
Middle Name:AZUKA
Last Name:ONYECHI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5833 CHESHIRE COVE TER
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-8833
Mailing Address - Country:US
Mailing Address - Phone:407-601-2545
Mailing Address - Fax:
Practice Address - Street 1:5833 CHESHIRE COVE TER
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32829-8833
Practice Address - Country:US
Practice Address - Phone:407-601-2545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11005165363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health