Provider Demographics
NPI:1780795674
Name:NKEMERE, NNENNAYA ODIDE (NP)
Entity type:Individual
Prefix:
First Name:NNENNAYA
Middle Name:ODIDE
Last Name:NKEMERE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:NNENNAYA
Other - Middle Name:GLADYS
Other - Last Name:NJOKU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2614 GINGER WREN ROAD
Mailing Address - Street 2:
Mailing Address - City:PEPPER PIKE
Mailing Address - State:OH
Mailing Address - Zip Code:44124
Mailing Address - Country:US
Mailing Address - Phone:440-781-6949
Mailing Address - Fax:216-378-2071
Practice Address - Street 1:8200 MENTOR HILLS DRIVE
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060
Practice Address - Country:US
Practice Address - Phone:440-256-1496
Practice Address - Fax:440-256-4935
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP - 07999363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner