Provider Demographics
NPI:1972321990
Name:UZOIGWE, EMMANUELLA (DNP FNP-BC)
Entity type:Individual
Prefix:DR
First Name:EMMANUELLA
Middle Name:
Last Name:UZOIGWE
Suffix:
Gender:F
Credentials:DNP FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 W QUARTZ RD
Mailing Address - Street 2:
Mailing Address - City:TOOELE
Mailing Address - State:UT
Mailing Address - Zip Code:84074-5414
Mailing Address - Country:US
Mailing Address - Phone:801-652-2467
Mailing Address - Fax:
Practice Address - Street 1:348 W QUARTZ RD
Practice Address - Street 2:
Practice Address - City:TOOELE
Practice Address - State:UT
Practice Address - Zip Code:84074-5414
Practice Address - Country:US
Practice Address - Phone:801-652-2467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10411597-3102163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse