CHINYERE DIVINELOVE ENWOROM (NPI# 1578607784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578607784 |
| Entity Type | Individual |
| Full Name | CHINYERE DIVINELOVE ENWOROM |
| Credential | MSN, APRN, FNP-BC |
| Practice Address |
605 Old Norcross Rd Lawrenceville GA 30045-4315 |
| Mailing Address |
730 Valla Crucis Ln Dacula GA 30019-7059 |
| Practice Telephone | 7709621231 |
| Practice Fax Number | 7705132107 |
| Mailing Telephone | 7709639363 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2011-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN180187 NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
605 OLD NORCROSS RD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-4315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881612 | Kirti K Shah | Internal Medicine | 605 Old Norcross Rd, Lawrenceville, GA 30045-4315 | 2005-06-16 |
| 1053881623 | Gwinnett Supply Company LLC | Durable Medical Equipment & Medical Supplies | 605 Old Norcross Rd, Lawrenceville, GA 30046-4315 | 2018-11-27 |
| 1407387525 | Jennifer N Munyao | Nurse Practitioner | 605 Old Norcross Rd, Lawrenceville, GA 30046-4315 | 2017-03-21 |
| 1518221134 | Gwinnett Supply Company LLC | Pharmacy | 605 Old Norcross Rd, Lawrenceville, GA 30046-4315 | 2012-06-28 |
| 1790016921 | Accu Lab LLC | Clinical Medical Laboratory | 605 Old Norcross Rd, Lawrenceville, GA 30046-4315 | 2010-01-28 |
| 1558506659 | Doris Kate Durham | Dietitian, Registered | 605 Old Norcross Rd, Lawrenceville, GA 30045-4315 | 2008-12-04 |
| 1467659144 | Gwinnett Supply Company LLC | Durable Medical Equipment & Medical Supplies | 605 Old Norcross Rd, Lawrenceville, GA 30046-4315 | 2007-06-27 |
| 1043327513 | Kidney Hypertension Clinic, PC | Internal Medicine | 605 Old Norcross Rd, Lawrenceville, GA 30045-4315 | 2006-08-23 |
| 1285654236 | Nephron Corporation | Clinic/Center | 605 Old Norcross Rd, Lawrenceville, GA 30045-4315 | 2006-07-20 |
| 1518986447 | Neprhon Corporation | Specialist | 605 Old Norcross Rd, Lawrenceville, GA 30045-4315 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496781 | Yanfang Xiao | Nurse Practitioner | 70 Rivershyre Cir, Lawrenceville, GA 30043-6436 | 2020-10-29 |
| 1114533346 | Esi F Yeboah | Nurse Practitioner | 2599 Irwell Way, Lawrenceville, GA 30044-2141 | 2020-09-22 |
| 1205442647 | Chibuogwu Ifeoma Onyegbule | Nurse Practitioner | 2508 Planters Cove Dr, Lawrenceville, GA 30044-4491 | 2020-09-21 |
| 1760097323 | Adelaide Asher | Nurse Practitioner | 250 Chandler Pond Dr, Lawrenceville, GA 30043-6079 | 2020-09-10 |
| 1669082335 | Dahlia Josephine Dobson | Nurse Practitioner | 25 Featherbed Ct, Lawrenceville, NJ 08648-2004 | 2020-08-06 |
| 1912517129 | Virginiah Kariuki | Nurse Practitioner | 990 Melrose Park Pl, Lawrenceville, GA 30044-7589 | 2020-08-03 |
| 1750990875 | Brittney Comfort Afram | Nurse Practitioner | 436 Cabot Trce, Lawrenceville, GA 30045-7848 | 2020-07-24 |
| 1487273843 | Maria A Chuma-okere | Nurse Practitioner | 1171 Thorncliff Way, Lawrenceville, GA 30044-8140 | 2020-04-15 |
| 1063031706 | Josephine Fatmata Belmoh | Nurse Practitioner | 2035 Bentbrooke Trl, Lawrenceville, GA 30043-2672 | 2020-04-13 |
| 1275162109 | Regina Raynor | Nurse Practitioner | 2359 Strand Ave, Lawrenceville, GA 30043-8204 | 2020-04-03 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on CHINYERE DIVINELOVE ENWOROM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.