Pat Agwu-Nwanna
Individual provider Active NPI Registered Nurse · Elmhurst, NY
NPI 1780075796 · NPPES record last updated Feb 12, 2015
Key facts
- NPI
- 1780075796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 585853-1 (NY)
- Practice address
- 7901 Broadway
Elmhurst, NY 11373-1329 - Phone
- (718) 334-3200
- NPI assigned
- Feb 12, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 585853-1 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 585853-1 | NY | Yes |
Addresses
Primary practice location
7901 Broadway
Elmhurst, NY 11373-1329
Mailing address
7901 Broadway
Elmhurst, NY 11373-1329
Phone (718) 334-3200
Other providers in Elmhurst, NY
- Joyce Stephanie Aguaiza
- Reyna Aguilar
- Angel Aguilera
- Maria-Cristina Aguirre
- Avelino Agulto
- Mohammad Abdul Ahad
- Emma Ahern
- Aftab Ahmad
- Naeem Ahmad
- Chelsea Ahmed
All providers in Elmhurst, 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 Feb 12, 2015. 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.