Individual
CHINYERE ADAMA ENYIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
111 N 49TH ST, PHILADELPHIA, PA 19139-2718
(215) 471-2600
Mailing address
111 N 49TH ST, PHILADELPHIA, PA 19139-2718
(215) 471-2600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP019232
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP025052
PA
Other
Enumeration date
09/17/2018
Last updated
02/17/2022
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