DR. CHINOMSO D EZENWATA NP-C NPI 1851785828

NPI Information

DR. Chinomso D Ezenwata, NP-C is a family nurse practitioner in Las Vegas, NV with 10 years of experience. DR. Chinomso D Ezenwata, NP-C NPI is 1851785828. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3110 S DURANGO DR STE 200
LAS VEGAS, NV
ZIP 89117
Phone: (702) 415-9760
Fax: (702) 478-6211

The NPI 1851785828 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/26/2015 and was last updated on 9/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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