Nwagwu, Isidore Obinna

Nwagwu, Isidore Obinna is an individual health care provider with primary practice located at 200 E Centennial Dr # 3&4, Pittsburg KS 66762-6571. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Nwagwu, Isidore Obinna can be contacted via phone (620) 231-9873.

Contact Information

Primary practice address
200 E Centennial Dr # 3&4 Pittsburg KS 66762-6571
Phone: (620) 231-9873
Fax: (620) 231-5062
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2011039961 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 53-75487-021 Kansas

Profile Details

NPI number 1376812818
LBN Legal business name Nwagwu, Isidore Obinna
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2011
Last updated Jul 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376812818 NPPES
Kansas MEDICAID 201071080A

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