Healthcare Provider Details

I. General information

NPI: 1033654231
Provider Name (Legal Business Name): GLORIA CHIDINMA NWACHUKWU APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2016
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

557 PIT RD
BROWNSBURG IN
46112-7831
US

IV. Provider business mailing address

1481 W 10TH ST
INDIANAPOLIS IN
46202-2803
US

V. Phone/Fax

Practice location:
  • Phone: 317-988-1772
  • Fax:
Mailing address:
  • Phone: 317-988-1772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71006808A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: