Individual
MRS. THEODORA CHIDIEBERE NWOSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, APN
Contact information
Practice address
602 LIBERTY PL, SICKLERVILLE, NJ 08081-5700
(856) 776-7540
(856) 776-7512
Mailing address
700 LIBERTY PL, SICKLERVILLE, NJ 08081-5715
(856) 776-7540
(856) 776-7512
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00315300
NJ
363L00000X
Nurse Practitioner
SP011240
PA
Other
Enumeration date
08/05/2011
Last updated
02/02/2018
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