Provider Demographics
NPI:1083280135
Name:NYERE, CHUKWUKA
Entity Type:Individual
Prefix:
First Name:CHUKWUKA
Middle Name:
Last Name:NYERE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8615 DEBBIE TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-3625
Mailing Address - Country:US
Mailing Address - Phone:562-251-7073
Mailing Address - Fax:
Practice Address - Street 1:8615 DEBBIE TERRACE DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-3625
Practice Address - Country:US
Practice Address - Phone:562-251-7073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-31
Last Update Date:2021-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX876930163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics