Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP2300X | Nurse Practitioner - Primary Care | 26NJ00740100 | NJ |
Y | 363LP2300X | Nurse Practitioner - Primary Care | AP137635 | TX |
NPI | 1043732555 |
---|---|
Provider Name | Chinyere Obiakwata |
First Address | Spring, TX 77380-3167 |
Second Address | Spring, TX 77380 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2017 |
Last Update Date | 06/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0582361 | (05) | NJ |