Provider Demographics
NPI:1982410312
Name:AZUONYE, CLAUDIA IBILOLA (MSN, RN, CNM)
Entity type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:IBILOLA
Last Name:AZUONYE
Suffix:
Gender:F
Credentials:MSN, RN, CNM
Other - Prefix:MS
Other - First Name:CLAUDIA
Other - Middle Name:IBILOLA
Other - Last Name:ODUBONA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:104 HUDSON AVE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12183-1202
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:43 NEW SCOTLAND AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3478
Practice Address - Country:US
Practice Address - Phone:518-262-3125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF002336-01176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife