Provider Demographics
NPI:1972494953
Name:ONYEACHU FAMILY NURSE PRACTITIONER LLC
Entity type:Organization
Organization Name:ONYEACHU FAMILY NURSE PRACTITIONER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF ENTITY
Authorized Official - Prefix:
Authorized Official - First Name:HARRIET
Authorized Official - Middle Name:A
Authorized Official - Last Name:ONYEACHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-519-7794
Mailing Address - Street 1:85 N LANSDOWNE AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-2073
Mailing Address - Country:US
Mailing Address - Phone:215-519-7794
Mailing Address - Fax:
Practice Address - Street 1:85 N LANSDOWNE AVE STE 6
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-2073
Practice Address - Country:US
Practice Address - Phone:215-519-7794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty