Provider Demographics
NPI:1568003382
Name:CHIKERE, ADA CYNTHIA
Entity Type:Individual
Prefix:
First Name:ADA
Middle Name:CYNTHIA
Last Name:CHIKERE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5310 MERLINS TRL
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-1853
Mailing Address - Country:US
Mailing Address - Phone:617-953-9757
Mailing Address - Fax:
Practice Address - Street 1:5310 MERLINS TRL
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-1853
Practice Address - Country:US
Practice Address - Phone:617-953-9757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-02
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX960599163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse