Individual
MRS. UGOCHI LOVINA ANYANWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
75 BROAD ST RM 815, NEW YORK, NY 10004-3233
(718) 391-0611
Mailing address
50 S B B KING BLVD # 100, MEMPHIS, TN 38103-2626
(901) 436-1381
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00320400
NJ
363LA2200X
Adult Health Nurse Practitioner
305257
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12250571
CAQH
NY
Enumeration date
08/10/2011
Last updated
07/13/2022
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