Individual
NGOZI IFEOMA OSIEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4608 WEDGEWOOD DRIVE, RALEIGH, NC 27604
(919) 758-1096
Mailing address
1300 WESTERN BLVD, RALEIGH, NC 27606-2148
(919) 743-4009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5009795
NC
Other
Enumeration date
06/20/2017
Last updated
08/15/2018
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