National Provider Identifier

Gloria Ozioma Ibezim, FAMILY NURSE PRACT

Gloria Ozioma Ibezim, FAMILY NURSE PRACT is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 461-8580.

NPI 1649529900Rochester, NYFamily Nurse Practitioner

Profile Overview

NPI
1649529900
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
September 02, 2012
Last Updated
March 17, 2018

Practice Location

  • 620 Westfall RD
  • Rochester, NY 14620-4610

Phone: (585) 461-8580

Mailing Address

  • 3 Amberly Cir
  • Rochester, NY 14624-2602

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • Family Health Clinical Nurse Specialist (364SF0001X)
  • Nurse Practitioner (363L00000X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1649529900
Entity Type
Individual
Last Name
Ibezim
First Name
Gloria
Middle Name
Ozioma
Name Prefix
Mrs.
Credential
FAMILY NURSE PRACT
Mailing Street Address
3 Amberly Cir
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-2602
Mailing Country
US
Mailing Phone
(585) 354-9628
Practice Street Address
620 Westfall RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-4610
Practice Country
US
Practice Phone
(585) 461-8580
Enumeration Date
September 02, 2012
Last Updated
March 17, 2018
Sex
Female
Sole Proprietor
No
Taxonomies
Family Nurse Practitioner (363LF0000X), Family Health Clinical Nurse Specialist (364SF0001X), Nurse Practitioner (363L00000X), Registered Nurse (163W00000X)
Other Identifiers
1649529900 (NY)