Provider Demographics
NPI:1063718666
Name:IWU, HELEN ONYINYECHI (RN)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:ONYINYECHI
Last Name:IWU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13212 159TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-2926
Mailing Address - Country:US
Mailing Address - Phone:917-825-5381
Mailing Address - Fax:718-712-7844
Practice Address - Street 1:13212 159TH ST
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-2926
Practice Address - Country:US
Practice Address - Phone:917-825-5381
Practice Address - Fax:718-712-7844
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-31
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY163W10500X163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYUNKNOWNMedicaid