MEDICARE: MRS. CALVARINA T NWACHUKU

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	363LF0000X	Family Nurse Practitioner	26NJ01255500	NJ

General Provider Information

NPI Number	:	1467103135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CALVARINA T NWACHUKU

Provider Business Mailing Address
First Line	:	817 ODONNELL AVE
Second Line	:
City	:	SCOTCH PLAINS
State	:	NJ
Zip	:	07076-2141
Country	:	US
Telephone Number	:	908-834-1913
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 WICKER PL
Second Line	:
City	:	MORGANVILLE
State	:	NJ
Zip	:	07751-9770
Country	:	US
Telephone Number	:	908-834-1913
Fax Number	:

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

Provider Enumeration Date	:	01/14/2022
Last Update Date	:	12/11/2025

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