Stella Azuka Ikwuazom, Nurse Practitioner
Nurse Practitioner, Family in North Babylon, NY. Individual provider (NPI-1).
NPI number1740595677
StatusActive
Last updated in NPPESAug 16, 2010
Details
- NPI
- 1740595677
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Stella Azuka Ikwuazom
- Credential
- Nurse Practitioner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2010
- Last updated
- Aug 16, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F335724 | NY | Yes |
Practice location
445 Spangle DrNorth Babylon, NY 11703-3719
Phone 631-422-0698
Mailing address
445 Spangle DrNorth Babylon, NY 11703-3719
Phone 631-422-0698
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All 13 Family Nurse Practitioner providers in North Babylon · All 445 providers in North Babylon
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