Provider Demographics
NPI:1932521440
Name:ONUEGBU, EDITH CHIOMA (RN)
Entity Type:Individual
Prefix:
First Name:EDITH
Middle Name:CHIOMA
Last Name:ONUEGBU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8131 BRISCOE FOSTER XING
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1606
Mailing Address - Country:US
Mailing Address - Phone:347-712-0472
Mailing Address - Fax:
Practice Address - Street 1:8131 BRISCOE FOSTER XING
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-1606
Practice Address - Country:US
Practice Address - Phone:347-712-0472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-17
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY680374163W00000X
OK200979363LP0808X
TX1012302363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY$$$$$$$$$OtherHOMECARE
NY$$$$$$$$$OtherHOMECARE