Individual provider · Type 1 NPI
Ekenechi Ezeanolue
Psychiatric/Mental Health Nurse Practitioner · West Henrietta, NY
NPI number
1912734682
Active
Practice location
250 Lucius Gordon Dr Ste 2
West Henrietta, NY 14586-9662
Fax (866) 557-9539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 406102 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
Other psychiatric/mental health nurse practitioner providers in West Henrietta
About NPI 1912734682
Ekenechi Ezeanolue's National Provider Identifier is 1912734682, issued on Sep 17, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in West Henrietta, NY. The record was last updated on Feb 18, 2026.