Individual
MR. OBIOMA ANDERSON NWOKEOHURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
724 WHARFSIDE CT BLDG 70A, PERTH AMBOY, NJ 08861-2999
(718) 866-8963
Mailing address
724 WHARFSIDE CT BLDG 70A, PERTH AMBOY, NJ 08861-2999
(718) 866-8963
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305630-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15232700
NJ
Other
Enumeration date
07/12/2011
Last updated
05/07/2026
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