Individual
CHIEBONAM EZIRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3184 W BROAD ST STE D, COLUMBUS, OH 43204-1327
(614) 279-8075
(614) 279-8574
Mailing address
3184 W BROAD ST STE D, COLUMBUS, OH 43204-1327
(614) 279-8075
(614) 279-8574
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN321371
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN321371
OHIO BOARD OF NURSING
OH
Enumeration date
08/26/2022
Last updated
08/26/2022
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