Individual
MRS. IJEOMA EZIOMA CHIMEZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
10540 W SHERIDAN AVE, MILWAUKEE, WI 53225-3244
(414) 217-9132
(414) 368-3087
Mailing address
10540 W SHERIDAN AVE, MILWAUKEE, WI 53225-3244
(414) 217-9132
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
172469-030
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
15262-33
WI
Other
Enumeration date
05/28/2010
Last updated
05/14/2024
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