Provider Demographics
NPI:1073746566
Name:NWANNA, E. CHINYERE (FNP- C)
Entity Type:Individual
Prefix:
First Name:E.
Middle Name:CHINYERE
Last Name:NWANNA
Suffix:
Gender:F
Credentials:FNP- C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14215 S POST OAK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-5233
Mailing Address - Country:US
Mailing Address - Phone:713-433-4536
Mailing Address - Fax:713-433-6708
Practice Address - Street 1:14215 S POST OAK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-5233
Practice Address - Country:US
Practice Address - Phone:713-433-4536
Practice Address - Fax:713-433-6708
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2014-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX546592363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX282913701Medicaid