Provider Demographics
NPI:1790009462
Name:OBIORA, AKUNESOKWU U (RN, NP)
Entity type:Individual
Prefix:
First Name:AKUNESOKWU
Middle Name:U
Last Name:OBIORA
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 SILVER ST
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-3621
Mailing Address - Country:US
Mailing Address - Phone:516-792-6194
Mailing Address - Fax:
Practice Address - Street 1:94 SILVER STREET
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-3934
Practice Address - Country:US
Practice Address - Phone:516-792-6194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-24
Last Update Date:2021-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY668273163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse