Healthcare Provider Details

I. General information

NPI: 1215419619
Provider Name (Legal Business Name): ADAORA NWOKEDI FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2018
Last Update Date: 10/08/2020
Certification Date: 10/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14950 HEATHROW FOREST PKWY
HOUSTON TX
77032-3847
US

IV. Provider business mailing address

9014 ACORN HARVEST TRL
RICHMOND TX
77407-1314
US

V. Phone/Fax

Practice location:
  • Phone: 281-921-2301
  • Fax:
Mailing address:
  • Phone: 773-317-1515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number887329
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1003328
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: