Provider Demographics
NPI:1235616467
Name:CHUKWUONU, ROSE
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:CHUKWUONU
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 1:6500 SANDS POINT DR APT 308
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-3750
Mailing Address - Country:US
Mailing Address - Phone:469-441-6395
Mailing Address - Fax:
Practice Address - Street 1:6500 SANDS POINT DR APT 308
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-3750
Practice Address - Country:US
Practice Address - Phone:469-441-6395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX179901164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse