Provider Demographics
NPI:1467660894
Name:NWAULU, CHUKS (PMHNP-NP)
Entity Type:Individual
Prefix:DR
First Name:CHUKS
Middle Name:
Last Name:NWAULU
Suffix:
Gender:M
Credentials:PMHNP-NP
Other - Prefix:
Other - First Name:CHUKS
Other - Middle Name:
Other - Last Name:NWAULU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:9509 MANOR OAKS VW
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3192
Mailing Address - Country:US
Mailing Address - Phone:301-222-3632
Mailing Address - Fax:
Practice Address - Street 1:21335 SIGNAL HILL PLZ
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-5562
Practice Address - Country:US
Practice Address - Phone:703-542-1744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024177509363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health