Individual provider · Type 1 NPI

Ijeoma Miracle Nwobu

Psychiatric/Mental Health Nurse Practitioner · Wyckoff, NJ

NPI number 1396564548 Active

Practice location

301 Sicomac Ave
Wyckoff, NJ 07481-2159

Mailing address

53 Philip Pl
Irvington, NJ 07111-2908

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X06356750 (NJ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1396564548

Ijeoma Miracle Nwobu's National Provider Identifier is 1396564548, issued on Oct 5, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wyckoff, NJ. The record was last updated on Oct 5, 2024.