Provider Demographics
NPI:1477018257
Name:KANU, UCHENNA KACHI (RN725919)
Entity Type:Individual
Prefix:
First Name:UCHENNA
Middle Name:KACHI
Last Name:KANU
Suffix:
Gender:F
Credentials:RN725919
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 E 31ST ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-1092
Mailing Address - Country:US
Mailing Address - Phone:510-437-8563
Mailing Address - Fax:510-437-8369
Practice Address - Street 1:1411 E 31ST ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94602-1092
Practice Address - Country:US
Practice Address - Phone:510-437-8563
Practice Address - Fax:510-437-8369
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-05
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN725919163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care