Individual
IJEOMA EUGENIA NWAEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, NP
Contact information
Practice address
1001 NAVAHO DR, SUITE 101, RALEIGH, NC 27609-7335
(919) 906-2322
(919) 872-1170
Mailing address
4109 GALLATREE LN, RALEIGH, NC 27616-0712
(919) 906-2322
(919) 872-1170
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5007043
NC
Other
Enumeration date
07/26/2014
Last updated
07/26/2014
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