Individual
NWAMAKA IFEYINWA ORJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12645 OLIVE BLVD, CREVE COEUR, MO 63141-6692
(314) 512-7801
Mailing address
12645 OLIVE BLVD, CREVE COEUR, MO 63141-6692
(314) 332-0387
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041552012
IL
163W00000X
Registered Nurse
Primary
2019011216
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025037120
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209034077
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G189793
IA
Other
Enumeration date
08/23/2024
Last updated
05/03/2026
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