Omonyemen Irenosen Ebhomielen
Nurse Anesthetist, Certified Registered in New York, NY. Individual provider (NPI-1).
NPI number1275142002
StatusActive
Last updated in NPPESOct 24, 2022
Details
- NPI
- 1275142002
- Entity type
- Individual (NPI-1)
- Name
- Omonyemen Irenosen Ebhomielen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2020
- Certification date
- Oct 24, 2022
- Last updated
- Oct 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 635881 | NY | Yes |
| 163WC0200X | Registered Nurse, Critical Care Medicine | 635881 | NY |
Practice location
560 W 168th StNew York, NY 10032-3917
Phone 212-305-4318
Mailing address
25630 Craft AveRosedale, NY 11422-2700
Phone 718-341-3383
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