Provider Demographics
NPI:1528542495
Name:NZEH, ULOMA
Entity type:Individual
Prefix:
First Name:ULOMA
Middle Name:
Last Name:NZEH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 S KEYSTONE AVE
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-3007
Mailing Address - Country:US
Mailing Address - Phone:610-742-1138
Mailing Address - Fax:
Practice Address - Street 1:1101 S KEYSTONE AVE
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-3007
Practice Address - Country:US
Practice Address - Phone:610-742-1138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA10028238376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide