Provider Demographics
NPI:1225713720
Name:CHUKWUKA, UJU ARINZE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:UJU
Middle Name:ARINZE
Last Name:CHUKWUKA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:REGINA
Other - Middle Name:
Other - Last Name:ARINZE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8612 KITTAMA DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-3178
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8612 KITTAMA DR
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-3178
Practice Address - Country:US
Practice Address - Phone:240-234-5293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR208023363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily