Provider Demographics
NPI:1174847511
Name:UWANDU, IJEOMA CHIDUMAGA
Entity type:Individual
Prefix:
First Name:IJEOMA
Middle Name:CHIDUMAGA
Last Name:UWANDU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 S LASALLE ST APT 15D
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-3630
Mailing Address - Country:US
Mailing Address - Phone:617-412-7688
Mailing Address - Fax:
Practice Address - Street 1:311 S LASALLE ST APT 15D
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3630
Practice Address - Country:US
Practice Address - Phone:617-412-7688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-14
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC371946163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty