Provider Demographics
NPI:1417569146
Name:NWACHUKWU, CHIAMAKA (RDN)
Entity Type:Individual
Prefix:MS
First Name:CHIAMAKA
Middle Name:
Last Name:NWACHUKWU
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10511 BAILEY DR
Mailing Address - Street 2:
Mailing Address - City:CHELTENHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20623-1113
Mailing Address - Country:US
Mailing Address - Phone:240-421-3273
Mailing Address - Fax:
Practice Address - Street 1:10511 BAILEY DR
Practice Address - Street 2:
Practice Address - City:CHELTENHAM
Practice Address - State:MD
Practice Address - Zip Code:20623-1113
Practice Address - Country:US
Practice Address - Phone:240-421-3273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered