Provider Demographics
NPI:1023826369
Name:CHINAKA, IHUOMA HOPE (LPN)
Entity type:Individual
Prefix:
First Name:IHUOMA
Middle Name:HOPE
Last Name:CHINAKA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 OLD PHILA RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-2859
Mailing Address - Country:US
Mailing Address - Phone:443-570-4714
Mailing Address - Fax:
Practice Address - Street 1:8100 OLD PHILA RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-2859
Practice Address - Country:US
Practice Address - Phone:443-570-4714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLP37310164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse