Wabomnor, Grace Nwaka
Wabomnor, Grace Nwaka is an individual health care provider with primary practice located at 17 E Grandview Dr , South Holland IL 60473-1099. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Wabomnor, Grace Nwaka can be contacted via phone (708) 439-5003.Contact Information
Primary practice address
17 E Grandview Dr
South Holland IL 60473-1099
Phone: (708) 439-5003
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 209018727 | Illinois |
Profile Details
| NPI number | 1548725799 |
|---|---|
| LBN Legal business name | Wabomnor, Grace Nwaka |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2019 |
| Last updated | Feb 1st, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548725799 | NPPES |
| Illinois | Other | 209018727 | ILLINOIS DEPT OF FINANCIAL AND PROFESSIONAL REGULATION |
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