Provider Demographics
NPI:1376927889
Name:NWIAWE, NNAJIKE
Entity Type:Individual
Prefix:
First Name:NNAJIKE
Middle Name:
Last Name:NWIAWE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7010 TEA OLIVE CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-5500
Mailing Address - Country:US
Mailing Address - Phone:281-727-6308
Mailing Address - Fax:281-651-2268
Practice Address - Street 1:7010 TEA OLIVE CT
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-5500
Practice Address - Country:US
Practice Address - Phone:281-727-6308
Practice Address - Fax:281-651-2268
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX793839163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse