Individual
IFEOMA NWANKWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 HARRISON ST, EAST ORANGE, NJ 07018-0774
(973) 677-7053
Mailing address
3 AMAGANSETT LN, MATAWAN, NJ 07747-6852
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00764300
NJ
Other
Enumeration date
10/25/2017
Last updated
03/17/2018
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