Provider Demographics
NPI:1588131759
Name:ONGWELA, LOICE A (DNP, RN, CNS-BC, CDE)
Entity type:Individual
Prefix:
First Name:LOICE
Middle Name:A
Last Name:ONGWELA
Suffix:
Gender:F
Credentials:DNP, RN, CNS-BC, CDE
Other - Prefix:
Other - First Name:LOICE
Other - Middle Name:
Other - Last Name:OCHIENG-ONGWELA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 PASTEUR DR RM H0105
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2200
Mailing Address - Country:US
Mailing Address - Phone:650-683-5314
Mailing Address - Fax:650-723-7329
Practice Address - Street 1:300 PASTEUR DR RM H0105
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-683-5314
Practice Address - Fax:650-723-7329
Is Sole Proprietor?:No
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4320364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health