Provider Demographics
NPI:1336364082
Name:MEWE-PIRA, NGOZI (RN, BSN, MSN)
Entity Type:Individual
Prefix:
First Name:NGOZI
Middle Name:
Last Name:MEWE-PIRA
Suffix:
Gender:F
Credentials:RN, BSN, MSN
Other - Prefix:
Other - First Name:NGOZI
Other - Middle Name:
Other - Last Name:MEWE-PIRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:2200 KERNAN DR
Mailing Address - Street 2:ATTN: CREDENTIALING DPT
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21207-6665
Mailing Address - Country:US
Mailing Address - Phone:410-448-6824
Mailing Address - Fax:410-448-6825
Practice Address - Street 1:2200 KERNAN DR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21207-6665
Practice Address - Country:US
Practice Address - Phone:410-448-6824
Practice Address - Fax:410-448-6825
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR162467163W00000X, 363LA2100X
CT094102163W00000X
CT004395363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily