Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | F-343533-1 | NY |
NPI | 1003182031 |
---|---|
Provider Name | Mrs. Oluebere Chinyere Nwokocha |
First Address | Bronx, NY 10466-1813 |
Second Address | Bronx, NY 10462-3302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2012 |
Last Update Date | 09/07/2019 |