Felishia Michelle Iwenjiora, RN
Individual provider Active NPI Registered Nurse · Henrietta, NY
NPI 1073760971 · NPPES record last updated Aug 21, 2008
Key facts
- NPI
- 1073760971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 565539 (NY)
- Practice address
- 5000 E Henrietta Rd Apt D11
Henrietta, NY 14467-8945 - Phone
- (202) 536-5217
- NPI assigned
- Aug 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 565539 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 565539 | NY | Yes |
Addresses
Primary practice location
5000 E Henrietta Rd Apt D11
Henrietta, NY 14467-8945
Mailing address
5000 E Henrietta Rd Apt D11
Henrietta, NY 14467-8945
Phone (202) 536-5217
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02857225 | Medicaid | NY |
Other providers in Henrietta, NY
- Tanner Quentin Holmes
- James Joseph Horohoe
- Kasey Howard
- Sabrina Hudson
- Lydia Ogbae Hylaab
- Yachica Montia Johnson
- Katrina Celeste Kaplin
- Steven Karnyski
- Caroline Kemp
- Meggy Kemshetti
All providers in Henrietta, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.