Provider Demographics
NPI:1164668158
Name:NWAFOR, ADAOBI CHINYELU (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ADAOBI
Middle Name:CHINYELU
Last Name:NWAFOR
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2327 S BEVERLY CIR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-6381
Mailing Address - Country:US
Mailing Address - Phone:281-969-8797
Mailing Address - Fax:
Practice Address - Street 1:1300 FM 655 RD
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-8604
Practice Address - Country:US
Practice Address - Phone:281-595-3481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-23
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130269363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily