Individual provider · Type 1 NPI
Awele Idemudia
Infusion Therapy Registered Nurse · Staten Island, NY
NPI number
1770219826
Active
Practice location
26 Dumont Ave
Staten Island, NY 10305-1450
Mailing address
117 S 13th St Apt 2
Newark, NJ 07107-4238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Infusion Therapy Registered Nurse Primary | 163WI0500X | 564012 (NY) |
Infusion Therapy Registered Nurse: Definition to come...
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About NPI 1770219826
Awele Idemudia's National Provider Identifier is 1770219826, issued on Jul 29, 2022. The primary taxonomy on file is Infusion Therapy Registered Nurse (163WI0500X), and the practice location is in Staten Island, NY. The record was last updated on Jul 29, 2022.