Egbuniwe, Gloria O

Egbuniwe, Gloria O is an individual health care provider with primary practice located at 2047 Pruden Blvd , Suffolk VA 23434-8490. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Egbuniwe, Gloria O can be contacted via phone (757) 513-4665.

Contact Information

Primary practice address
2047 Pruden Blvd Suffolk VA 23434-8490
Phone: (757) 513-4665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024181476 Virginia

Profile Details

NPI number 1912572009
LBN Legal business name Egbuniwe, Gloria O
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2021
Last updated Jun 11th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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