Provider Demographics
NPI:1134664790
Name:AGBASI, UZOAMAKA CHRISTIANA (NP-C)
Entity Type:Individual
Prefix:
First Name:UZOAMAKA
Middle Name:CHRISTIANA
Last Name:AGBASI
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 28TH ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23607-4233
Mailing Address - Country:US
Mailing Address - Phone:757-244-8560
Mailing Address - Fax:
Practice Address - Street 1:1033 28TH ST
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23607-4233
Practice Address - Country:US
Practice Address - Phone:757-244-8560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-05
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024174404363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily