Individual provider · Type 1 NPI
Ethel Ezeohagba
Licensed Practical Nurse · Nutley, NJ
NPI number
1699335653
Active
Practice location
636 Passaic Ave
Nutley, NJ 07110-1280
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 334682 (NY) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1699335653
Ethel Ezeohagba's National Provider Identifier is 1699335653, issued on Jun 20, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Nutley, NJ. The record was last updated on Jun 20, 2019.