Individual
KRISTEN NWANYANWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.B.A.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036132910
IL
207W00000X
Ophthalmology Physician
Primary
54388
CT
390200000X
Student in an Organized Health Care Education/Training Program
036132910
IL
390200000X
Student in an Organized Health Care Education/Training Program
4301097274
MI
390200000X
Student in an Organized Health Care Education/Training Program
MT195314
PA
Other
Enumeration date
06/18/2009
Last updated
07/24/2015
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