Provider Demographics
NPI:1275131765
Name:UWAKAH, UZOMA (FNP, DNP, MSN, RN)
Entity Type:Individual
Prefix:DR
First Name:UZOMA
Middle Name:
Last Name:UWAKAH
Suffix:
Gender:F
Credentials:FNP, DNP, MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5512 HILTON ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-1033
Mailing Address - Country:US
Mailing Address - Phone:415-860-3439
Mailing Address - Fax:
Practice Address - Street 1:2521 SEMINARY AVE # 1
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-1307
Practice Address - Country:US
Practice Address - Phone:510-777-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-15
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QP2300X
CA95018064363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care