Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 320097 | NY |
N | 363LC1500X | Nurse Practitioner - Community Health | 320097 | NY |
NPI | 1508204561 |
---|---|
Provider Name | Francisca-Lenae Chinonye Egbuna |
First Address | Liverpool, NY 13088-5652 |
Second Address | Syracuse, NY 13210-2306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2013 |
Last Update Date | 18/09/2019 |