Individual
GRACE NWAKAEGO ONOVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6 GRAMATAN AVE STE 604A, MOUNT VERNON, NY 10550-3208
(838) 333-0513
Mailing address
11 EMMETT TER, NEW ROCHELLE, NY 10805-1201
(914) 636-2765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F333959
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402494
NY
Other
Enumeration date
07/23/2006
Last updated
03/14/2024
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