MEDICARE: CHIOMA NNENAYA UKWA

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	4704403559	MI

General Provider Information

NPI Number	:	1861173742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHIOMA NNENAYA UKWA

Provider Business Mailing Address
First Line	:	7915 FM 1960 RD W STE 230
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-5750
Country	:	US
Telephone Number	:	780-787-8778
Fax Number	:

Provider Business Practice Location Address
First Line	:	7915 FM 1960 RD W STE 230
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-5750
Country	:	US
Telephone Number	:	780-787-8778
Fax Number	:

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

Provider Enumeration Date	:	07/25/2023
Last Update Date	:	07/25/2023

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Directions to “ CHIOMA NNENAYA UKWA ” Practice Location

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