Individual
IFEANYI IZUAKOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8396 SIX FORKS RD STE 201, RALEIGH, NC 27615-3058
(919) 522-8956
(984) 202-2158
Mailing address
1927 HIGH HOLLY LN, RALEIGH, NC 27614-7796
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
211352
NC
253Z00000X
In Home Supportive Care Agency
HC6770
NC
Other
Enumeration date
11/18/2022
Last updated
09/26/2025
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