Provider Demographics
NPI:1487440541
Name:NWAGU, CHINALU CHINYERE
Entity type:Individual
Prefix:
First Name:CHINALU
Middle Name:CHINYERE
Last Name:NWAGU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4811 RUATAN ST
Mailing Address - Street 2:
Mailing Address - City:BERWYN HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20740-2151
Mailing Address - Country:US
Mailing Address - Phone:240-667-8880
Mailing Address - Fax:
Practice Address - Street 1:4811 RUATAN ST
Practice Address - Street 2:
Practice Address - City:BERWYN HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20740-2151
Practice Address - Country:US
Practice Address - Phone:240-667-8880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide