Provider Demographics
NPI:1184223489
Name:NWADIKE, UZOMA U (RN, MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:UZOMA
Middle Name:U
Last Name:NWADIKE
Suffix:
Gender:F
Credentials:RN, MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 NORTE VISTA DR
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-1316
Mailing Address - Country:US
Mailing Address - Phone:909-680-7095
Mailing Address - Fax:
Practice Address - Street 1:2550 NORTE VISTA DR
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-1316
Practice Address - Country:US
Practice Address - Phone:909-680-7095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-19
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95012556363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty