MRS. Stella Azuka Ikwuazom, NURSE PRACTITIONER
NPI #1740595677 in North Babylon, New York
Provider Information
- NPI Number
- 1740595677
- Entity Type
- Individual
- Name
- MRS. Stella Azuka Ikwuazom, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Aug 16, 2010
- Last Updated
- Aug 16, 2010
Practice Location
- Address
- 445 SPANGLE DR
- City
- North Babylon
- State
- New York
- ZIP Code
- 11703-3719
- Phone
- (631) 422-0698
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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