Provider Demographics
NPI:1215350889
Name:ONOCHIE, CHINWE I
Entity type:Individual
Prefix:
First Name:CHINWE
Middle Name:
Last Name:ONOCHIE
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02126-2917
Mailing Address - Country:US
Mailing Address - Phone:857-247-1476
Mailing Address - Fax:617-297-0510
Practice Address - Street 1:135 RIVER ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02126-2917
Practice Address - Country:US
Practice Address - Phone:857-247-1476
Practice Address - Fax:617-297-0510
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-01
Last Update Date:2014-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2282589163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse