Active NPIIndividual provider

Ijeoma M Nwobu

Nurse Practitioner, Psych/Mental Health in Wyckoff, New Jersey

NPI Number1396564548
Practice location
301 Sicomac Ave, Wyckoff, NJ 07481-2159
Fax
—
Last updated
October 5, 2024

Ijeoma Miracle Nwobu is a Nurse Practitioner, Psych/Mental Health based in Wyckoff, NJ. Ijeoma Miracle Nwobu practices in Wyckoff, NJ. The NPI Number for Ijeoma Miracle Nwobu is 1396564548 and holds a License No. 06356750 (NJ). The current practice location address for Ijeoma Miracle Nwobu is 301 Sicomac Ave, Wyckoff, NJ 07481-2159 and can be reached out via phone at 917-224-8622.

Provider Profile Details

NPI Number
1396564548
Provider Name
Ijeoma Miracle Nwobu
Provider Entity Type
Individual
Gender
Female
Address
301 Sicomac Ave, Wyckoff, NJ 07481-2159
Phone Number
917-224-8622
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
October 5, 2024
Last Update Date
October 5, 2024
Certification Date
October 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
301 Sicomac Ave
Wyckoff, NJ 07481-2159
Zip
07481-2159
Phone Number
917-224-8622
Wyckoff, NJ 07481Get directions →

Provider Business Mailing Address Details

Address
53 Philip Pl
Irvington, NJ 07111-2908
City
Irvington
State
NJ
Zip
07111-2908
Phone Number
917-224-8622

License Information

License Number
06356750
License State
NJ
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ijeoma M Nwobu?

The NPI number of Ijeoma M Nwobu is 1396564548. It was assigned on October 5, 2024 and is currently active in the NPPES registry.

What is the specialty of Ijeoma M Nwobu?

Ijeoma M Nwobu is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 06356750.

Where does Ijeoma M Nwobu practice?

The practice location is 301 Sicomac Ave, Wyckoff, NJ 07481-2159. The office can be reached at 917-224-8622 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396564548 directly on the NPPES registry website.

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