Provider Demographics
NPI:1336719038
Name:PRIORITY MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:PRIORITY MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NKECHINYERE
Authorized Official - Middle Name:AUGUSTA
Authorized Official - Last Name:NWOSU
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:513-628-7538
Mailing Address - Street 1:3100 E 45TH ST STE 234
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44127-1091
Mailing Address - Country:US
Mailing Address - Phone:513-628-7538
Mailing Address - Fax:
Practice Address - Street 1:3100 E 45TH ST STE 234
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44127-1091
Practice Address - Country:US
Practice Address - Phone:513-628-7538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies