Individual
CHINEDU PETER EZIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
370 CLINE AVE, MANSFIELD, OH 44907-1057
(419) 468-0965
(419) 462-4566
Mailing address
PO BOX 1086, WILLOUGHBY, OH 44096-1086
(216) 645-7242
(440) 975-8278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0029920
OH
Other
Enumeration date
10/06/2021
Last updated
04/12/2022
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