MEDICARE: GRACE CHIDIEBERE NWAWUIHE

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1171837	TX

General Provider Information

NPI Number	:	1477387587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE CHIDIEBERE NWAWUIHE

Provider Business Mailing Address
First Line	:	6020 W PARKER RD STE 305
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-8350
Country	:	US
Telephone Number	:	214-850-1756
Fax Number	:

Provider Business Practice Location Address
First Line	:	6020 W PARKER RD STE 305
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-8350
Country	:	US
Telephone Number	:	214-850-1756
Fax Number	:

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

Provider Enumeration Date	:	08/29/2024
Last Update Date	:	03/24/2026

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Directions to “ GRACE CHIDIEBERE NWAWUIHE ” Practice Location

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