Provider Demographics
NPI:1225682974
Name:NWACHUKWU, CHIKA C
Entity Type:Individual
Prefix:
First Name:CHIKA
Middle Name:C
Last Name:NWACHUKWU
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 1:5642 WHIFTIELD CHAPLE ROAD
Mailing Address - Street 2:APARTMENT 304
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2559
Mailing Address - Country:US
Mailing Address - Phone:202-480-1331
Mailing Address - Fax:
Practice Address - Street 1:5642 WHIFTIELD CHAPLE ROAD
Practice Address - Street 2:APARTMENT 304
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2559
Practice Address - Country:US
Practice Address - Phone:202-480-1331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-31
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC14615374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide