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NPI Code Detail

MEDICARE: MRS. CHINYERE T. NWANOSIKE NURSE PRACTITIONER

MEDICARE: MRS. CHINYERE T. NWANOSIKE NURSE PRACTITIONER
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 Practitioner101830TX

General Provider Information

NPI Number : 1831411867
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHINYERE T. NWANOSIKE NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 3745 W WELLS ST APT 102
Second Line :
City : MILWAUKEE
State : WI
Zip : 53208-3148
Country : US
Telephone Number : 414-795-9285
Fax Number :
Provider Business Practice Location Address
First Line : 4055 VALLEY VIEW LN STE 700
Second Line :
City : DALLAS
State : TX
Zip : 75244-5045
Country : US
Telephone Number : 972-715-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2010
Last Update Date : 11/11/2020

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