Obiora, Ifeoma Alexandria

Obiora, Ifeoma Alexandria is an sole proprietor health care provider with primary practice located at 219 River Rd , Lincoln RI 02865-2325. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Obiora, Ifeoma Alexandria can be contacted via phone (617) 778-4390.

Contact Information

Primary practice address
219 River Rd Lincoln RI 02865-2325
Phone: (617) 778-4390
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN2302865 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CAPRN01958 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN2302865 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN2302865 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN2302865 Massachusetts

Profile Details

NPI number 1649626847
LBN Legal business name Obiora, Ifeoma Alexandria
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2016
Last updated Mar 8th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649626847 NPPES
Massachusetts MEDICAID RN2302865
Massachusetts MEDICAID CAPRN01958

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