Individual ProviderIjeoma NnolimRegistered NurseNursing Service ProvidersPractice Address9 Elizabeth Ct, Spring Valley, NY 10977-1842(734) 717-4343PECOS EnrollmentBased on the most recent information from CMS, provider Ijeoma Nnolim does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:54 AM.Profile DetailsProvider ID1073161758Provider TypeIndividualFull NameNnolim, IjeomaGenderFemaleSole ProprietorYesEnumeration Date8/27/2019Last Updated8/27/2019Contact InformationPractice LocationPractice Address9 Elizabeth Ct, Spring Valley, NY 10977-1842Phone(734) 717-4343FaxUnlisted FaxMailing LocationMailing Address9 Elizabeth Ct, Spring Valley, NY 10977-1842PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense582533New York