Provider Demographics
NPI:1730709932
Name:ONWUAKPA, CHIOMA LYNDA
Entity type:Individual
Prefix:
First Name:CHIOMA
Middle Name:LYNDA
Last Name:ONWUAKPA
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 1:9910 NICOL CT W
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2960
Mailing Address - Country:US
Mailing Address - Phone:240-830-2394
Mailing Address - Fax:
Practice Address - Street 1:9910 NICOL CT W
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-2960
Practice Address - Country:US
Practice Address - Phone:240-830-2394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-17
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNP1057003363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty