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MISS IFEOMA ANULIKA ILO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNW

Contact information

Practice address
1718 E 4TH ST STE 907, CHARLOTTE, NC 28204-3282
(704) 372-4000
(704) 334-4855
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
214146
NC
367A00000X
Advanced Practice Midwife
Primary
507
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1154609170
NC
05
MW0225
SC
Enumeration date
07/25/2011
Last updated
03/24/2023
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