Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 023429 | OH |
NPI | 1023590411 |
---|---|
Provider Name | Doreen Chieloka Onyekelu |
First Address | Bowling Green, OH 43402-5226 |
Second Address | Bowling Green, OH 43402-5226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2018 |
Last Update Date | 31/08/2018 |