Provider Demographics
NPI:1245711621
Name:NWOSU, NKECHINYERE AUGUSTA (APRN)
Entity type:Individual
Prefix:MRS
First Name:NKECHINYERE
Middle Name:AUGUSTA
Last Name:NWOSU
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:NKECHINYERE
Other - Middle Name:AUGUSTA
Other - Last Name:ORANUSI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11390 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-2313
Mailing Address - Country:US
Mailing Address - Phone:513-618-4042
Mailing Address - Fax:
Practice Address - Street 1:20 N GRAND AVE STE 8
Practice Address - Street 2:
Practice Address - City:FORT THOMAS
Practice Address - State:KY
Practice Address - Zip Code:41075-1755
Practice Address - Country:US
Practice Address - Phone:216-468-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-24
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH023939363L00000X, 363LP0808X
KY3012597363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0329945Medicaid
KY3012597OtherKENTUCKY BOARD OF NURSING