Healthcare Provider Details

I. General information

NPI: 1275131765
Provider Name (Legal Business Name): UZOMA UWAKAH FNP, DNP, MSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2020
Last Update Date: 02/24/2022
Certification Date: 02/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2521 SEMINARY AVE # 1
OAKLAND CA
94605-1307
US

IV. Provider business mailing address

5512 HILTON ST
OAKLAND CA
94605-1033
US

V. Phone/Fax

Practice location:
  • Phone: 510-777-1000
  • Fax:
Mailing address:
  • Phone: 415-860-3439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95018064
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: