Ngulefac Richard Achaleke, RN
Individual provider Active NPI Registered Nurse · Lawrenceville, GA
NPI 1295299386 · NPPES record last updated Jan 23, 2019
Key facts
- NPI
- 1295299386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 169417 (AZ)
- Practice address
- 175 Gwinnett Dr
Lawrenceville, GA 30046-8444 - Phone
- (678) 209-2411
- NPI assigned
- Jan 23, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 169417 | AZ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Cherish Group Home LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 169417 | AZ | Yes |
Addresses
Primary practice location
175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Mailing address
838 Overlook Path LN
Lawrenceville, GA 30045-8804
Other providers in Lawrenceville, GA
- Access Healthcare Providers LLC
- Access Wheelchair Repair, LLC
- Accessibility Solutions
- Accu Lab LLC
- Accurate Medical Diagnostics, LLC
- Chidinma Sylvia Achalu
- Caleb Eric Ackermann
- Raquel Acoff
- Bryan Acosta
- Denise Acosta
All providers in Lawrenceville, GA · Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2019. 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.