Active NPIIndividual providerSole proprietor

Chioma E Agbo, PSYCH NP

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

NPI Number1528535465
Practice location
245 Andrea Dr, Rockaway, NJ 07866-3705
Fax
—
Last updated
March 2, 2021

Chioma Eunice Agbo is a Nurse Practitioner, Psych/Mental Health based in Rockaway, NJ. Chioma Eunice Agbo practices in Rockaway, NJ and has the professional credentials of PSYCH NP. The NPI Number for Chioma Eunice Agbo is 1528535465 and holds a License No. 26NJ00875300 (NJ). The current practice location address for Chioma Eunice Agbo is 245 Andrea Dr, Rockaway, NJ 07866-3705 and can be reached out via phone at 973-873-3083.

Provider Profile Details

NPI Number
1528535465
Provider Name
Chioma Eunice Agbo
Credential
PSYCH NP
Provider Entity Type
Individual
Gender
Female
Address
245 Andrea Dr, Rockaway, NJ 07866-3705
Phone Number
973-873-3083
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
October 29, 2018
Last Update Date
March 2, 2021
Certification Date
March 2, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
245 Andrea Dr
Rockaway, NJ 07866-3705
Zip
07866-3705
Phone Number
973-873-3083
Rockaway, NJ 07866Get directions →

Provider Business Mailing Address Details

Address
245 Andrea Dr
Rockaway, NJ 07866-3705
City
Rockaway
State
NJ
Zip
07866-3705
Phone Number
973-873-3083

License Information

License Number
26NJ00875300
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 Chioma E Agbo, PSYCH NP?

The NPI number of Chioma E Agbo, PSYCH NP is 1528535465. It was assigned on October 29, 2018 and is currently active in the NPPES registry.

What is the specialty of Chioma E Agbo, PSYCH NP?

Chioma E Agbo, PSYCH NP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ00875300.

Where does Chioma E Agbo, PSYCH NP practice?

The practice location is 245 Andrea Dr, Rockaway, NJ 07866-3705. The office can be reached at 973-873-3083 (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 1528535465 directly on the NPPES registry website.

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