Provider Demographics
NPI:1942405063
Name:NWACHUKWU, ASSUMPTA N (NP)
Entity type:Individual
Prefix:
First Name:ASSUMPTA
Middle Name:N
Last Name:NWACHUKWU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 COUNTY HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-2525
Mailing Address - Country:US
Mailing Address - Phone:877-823-5230
Mailing Address - Fax:215-823-5265
Practice Address - Street 1:211 COUNTY HOUSE RD
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-2525
Practice Address - Country:US
Practice Address - Phone:877-823-5230
Practice Address - Fax:215-823-5265
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00129500363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily