Provider Demographics
NPI:1336957026
Name:ONYEGBULAM, UZOMA CHIZOBA
Entity type:Individual
Prefix:
First Name:UZOMA
Middle Name:CHIZOBA
Last Name:ONYEGBULAM
Suffix:
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 1:5746 NAHANT AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-2915
Mailing Address - Country:US
Mailing Address - Phone:513-591-9158
Mailing Address - Fax:
Practice Address - Street 1:5746 NAHANT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-2915
Practice Address - Country:US
Practice Address - Phone:513-591-9158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-26
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN459824163WN0800X, 163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-SurgicalGroup - Multi-Specialty
No163WN0800XNursing Service ProvidersRegistered NurseNeuroscience