MEDICARE: CHIKAODI NWORDU RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	705543	TX

General Provider Information

NPI Number	:	1316237266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHIKAODI NWORDU RN

Provider Business Mailing Address
First Line	:	25103 CLOVER RANCH DR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-3017
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5707 EDGEMOOR DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-6009
Country	:	US
Telephone Number	:	281-224-7543
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2011
Last Update Date	:	08/19/2024

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