Provider Demographics
NPI:1023544772
Name:UWAKWE, ROSE CHINWE
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:CHINWE
Last Name:UWAKWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7721 ROCKYRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-8909
Mailing Address - Country:US
Mailing Address - Phone:469-767-1805
Mailing Address - Fax:
Practice Address - Street 1:7721 ROCKYRIDGE DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-8909
Practice Address - Country:US
Practice Address - Phone:469-767-1805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-01
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX918032163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse