Individual
AGNES IHECHINYERE NWOKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2014 ANTHONY RD, BURLINGTON, NC 27215-8941
(336) 506-2600
Mailing address
PO BOX 1630, PINEHURST, NC 28370-1630
(910) 295-6007
(910) 215-0179
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN132950
NC
363L00000X
Nurse Practitioner
5002926
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5002926
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005009938-22
ANCC CERTIFICATION
NC
Enumeration date
09/22/2006
Last updated
02/10/2020
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