Provider Demographics
NPI:1861173742
Name:UKWA, CHIOMA NNENAYA
Entity type:Individual
Prefix:
First Name:CHIOMA
Middle Name:NNENAYA
Last Name:UKWA
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 1:7915 FM 1960 RD W STE 230
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-5750
Mailing Address - Country:US
Mailing Address - Phone:780-787-8778
Mailing Address - Fax:
Practice Address - Street 1:7915 FM 1960 RD W STE 230
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5750
Practice Address - Country:US
Practice Address - Phone:780-787-8778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704403559163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse