| NPI | 1295295038 |
|---|---|
| Professional Name | IFEANYI JOHN MADU |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 818778) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 818778) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2021-07-28 |