Provider Demographics
NPI:1063730695
Name:ECHEZONA, CHIOMA S (R N, MSN, APN)
Entity type:Individual
Prefix:MRS
First Name:CHIOMA
Middle Name:S
Last Name:ECHEZONA
Suffix:
Gender:F
Credentials:R N, MSN, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 FERN HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-2264
Mailing Address - Country:US
Mailing Address - Phone:732-252-5150
Mailing Address - Fax:
Practice Address - Street 1:16 FERN HOLLOW RD
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-2264
Practice Address - Country:US
Practice Address - Phone:732-252-5150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00288500363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care