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NPI Code Detail

MEDICARE: E. CHINYERE NWANNA FNP- C

MEDICARE: E. CHINYERE NWANNA FNP- C
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
1363LF0000XFamily Nurse Practitioner546592TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073746566
Entity Type Code : Individual
Provider Name (Legal Business Name) : E. CHINYERE NWANNA FNP- C
Provider Business Mailing Address
First Line : 14215 S POST OAK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77045-5233
Country : US
Telephone Number : 713-433-4536
Fax Number : 713-433-6708
Provider Business Practice Location Address
First Line : 14215 S POST OAK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77045-5233
Country : US
Telephone Number : 713-433-4536
Fax Number : 713-433-6708
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2009
Last Update Date : 06/14/2014

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