Individual
TYRA ONYEDUMEKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
3533 SOUTHERN BLVD STE 5200, KETTERING, OH 45429-1275
(937) 643-9299
(937) 439-6189
Mailing address
1975 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459-3811
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0028809
OH
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.0028809
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.0028809
OH
Other
Enumeration date
06/26/2021
Last updated
09/08/2022
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