Provider Demographics
NPI:1235564162
Name:NWAUCHE, CECILIA NKASIOBI (NP)
Entity Type:Individual
Prefix:MS
First Name:CECILIA
Middle Name:NKASIOBI
Last Name:NWAUCHE
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Gender:F
Credentials:NP
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Mailing Address - Street 1:424 RUNNING HORSE LN
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-7232
Mailing Address - Country:US
Mailing Address - Phone:704-575-5064
Mailing Address - Fax:704-243-7506
Practice Address - Street 1:6101 IDLEWILD RD
Practice Address - Street 2:SUITE 315
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-0517
Practice Address - Country:US
Practice Address - Phone:704-716-9898
Practice Address - Fax:704-716-9838
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2015-06-19
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Provider Licenses
StateLicense IDTaxonomies
NC5006397363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily