Doctor Name: | MRS. CHINYERE DELICIA UMEZURIKE |
NPI Number: | 1407261654 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | R135902 |
Business Practice Address: | 10513 Vincent Rd White Marsh, MD - 211621922 |
Business Phone Number: | 4103353657 |
Business Fax Number: | |
Mailing Address: | 522 N Hickory Ave, BEL AIR |
State: | MD |
Postal Code: | 210143229 |
Phone Number: | 4106385333 |
Fax Number: | 4106387440 |
NPI Enumeration Date: | 06/26/2014 |
NPI Last Update Date: | 06/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R135902 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |