Individual provider · Type 1 NPI
Gloria O. Egbuniwe, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Suffolk, VA
NPI number
1912572009
Active
Practice location
2047 Pruden Blvd
Suffolk, VA 23434-8490
Mailing address
2470 Pruden Blvd
Suffolk, VA 23434-4206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0024181476 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1912572009
Gloria O. Egbuniwe, PMHNP-BC's National Provider Identifier is 1912572009, issued on May 21, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Suffolk, VA. The record was last updated on Jun 11, 2021.