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NPI Code Detail

MEDICARE: MS. UDOKA NWAEKWU MS, RD, LD

MEDICARE: MS. UDOKA NWAEKWU MS, RD, LD
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
1133V00000XRegistered DietitianD1100000253DC

General Provider Information

NPI Number : 1285994327
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. UDOKA NWAEKWU MS, RD, LD
Provider Business Mailing Address
First Line : 1150 VARNUM STREET N.E.
Second Line : PROVIDENCE HOSPITAL , FOOD & NUTRITION DEPARTMENT
City : WASHINGTON
State : DC
Zip : 20017-2180
Country : US
Telephone Number : 202-269-7154
Fax Number :
Provider Business Practice Location Address
First Line : 1150 VARNUM STREET N.E.
Second Line : PROVIDENCE HOSPITAL , FOOD & NUTRITION DEPARTMENT
City : WASHINGTON
State : DC
Zip : 20017-2180
Country : US
Telephone Number : 202-269-7154
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2012
Last Update Date : 05/23/2012

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