Doctor Name: | MRS. IJEOMA MENKITI |
NPI Number: | 1225348873 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 26NJ00305900 |
Business Practice Address: | 2 8th St Hammonton, NJ - 080373347 |
Business Phone Number: | 8889852727 |
Business Fax Number: | 6095678832 |
Mailing Address: | 2 8th St, HAMMONTON |
State: | NJ |
Postal Code: | 080373347 |
Phone Number: | 8889852727 |
Fax Number: | 6095678832 |
NPI Enumeration Date: | 10/18/2010 |
NPI Last Update Date: | 03/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NJ00305900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |