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Individual
EMMANUEL AMEYIBOR
Active
Individual
EMMANUEL AMEYIBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR19202100
NJ
163WP0808X
Psychiatric/Mental Health Registered Nurse
26NR19202100
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01145200
NJ
Other
Enumeration date
04/28/2021
Last updated
11/25/2024
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