MS. THERESA A NWAOHA-EZEKWO


Address: 10324 Graciosa Way, Elk Grove, CA 95757-3464
Phone: 9165293398

MS. THERESA A NWAOHA-EZEKWO (NPI# 1326573494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326573494
Entity Type Individual
Full Name MS. THERESA A NWAOHA-EZEKWO
Practice Address 10324 Graciosa Way
Elk Grove
CA 95757-3464
Practice Telephone 9165293398
Mailing Telephone 9165293398
Enumeration Date 2017-04-26
Last Update Date 2017-04-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
NP95006334 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10324 GRACIOSA WAY
City ELK GROVE
State CA
Zip Code 95757-3464

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City ELK GROVE
Zip Code 95757

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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