Provider Demographics
NPI:1730550930
Name:UMEH, NNEKA GERALDINE (FNP/PHMNP)
Entity type:Individual
Prefix:
First Name:NNEKA
Middle Name:GERALDINE
Last Name:UMEH
Suffix:
Gender:F
Credentials:FNP/PHMNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 S ABEL ST
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5243
Mailing Address - Country:US
Mailing Address - Phone:408-957-5383
Mailing Address - Fax:
Practice Address - Street 1:631 ROCK ROSE WAY
Practice Address - Street 2:
Practice Address - City:SAN PABLO
Practice Address - State:CA
Practice Address - Zip Code:94806-1856
Practice Address - Country:US
Practice Address - Phone:510-691-5040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-13
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95003056363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily