Doctor Name: | CHINYERE UGWANYI |
NPI Number: | 1063831212 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP, PMHNP |
License Number: | COA.15582-NP |
Business Practice Address: | 770 W High St Suite 300 Lima, OH - 458013990 |
Business Phone Number: | 4199965033 |
Business Fax Number: | 4199965266 |
Mailing Address: | Po Box 636930, CINCINNATI |
State: | OH |
Postal Code: | 452636930 |
Phone Number: | 5139815123 |
Fax Number: | 5139815015 |
NPI Enumeration Date: | 04/15/2014 |
NPI Last Update Date: | 04/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | COA.15582-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |