Individual
NINA EZINNE NWOKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 302-2000
(208) 302-2055
Mailing address
1920 GRASSMERE LN APT 1623, MCKINNEY, TX 75071-8542
(512) 221-5754
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024191331
VA
363L00000X
Nurse Practitioner
1021680
TX
363L00000X
Nurse Practitioner
209030132
IL
363L00000X
Nurse Practitioner
APRN11035264
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
1021680
TX
363LF0000X
Family Nurse Practitioner
78791
ID
Other
Enumeration date
12/24/2020
Last updated
10/28/2024
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