Individual
ELIZABETH CHIAMAKA OKWAMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
841 E HUNTING PARK AVE, PHILADELPHIA, PA 19124-4800
(215) 535-4494
Mailing address
841 E HUNTING PARK AVE, PHILADELPHIA, PA 19124-4800
(856) 571-7011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR17486600
NJ
163W00000X
Registered Nurse
RN689054
PA
363L00000X
Nurse Practitioner
Primary
SP023660
PA
Other
Enumeration date
06/02/2020
Last updated
08/19/2021
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