Individual provider · Type 1 NPI
Kikelomo Ejiogu, NURSE PRACTITIONER
Medical-Surgical Registered Nurse · Far Rockaway, NY
NPI number
1447568035
Active
Practice location
2530 Camp Rd
Far Rockaway, NY 11691-2725
Fax (718) 241-1759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | F305040-1 (NY) |
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 526936-1 (NY) |
Medical-Surgical Registered Nurse: Definition to come...
About NPI 1447568035
Kikelomo Ejiogu, NURSE PRACTITIONER's National Provider Identifier is 1447568035, issued on Sep 17, 2010. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Far Rockaway, NY. The record was last updated on Sep 17, 2010.