Provider Demographics
NPI:1578071536
Name:EMEH, CHINYERE CHIOMA (NP)
Entity Type:Individual
Prefix:
First Name:CHINYERE
Middle Name:CHIOMA
Last Name:EMEH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CHINYERE
Other - Middle Name:CHIOMA
Other - Last Name:NZEMECHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6100 WESTERN PL
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-4600
Mailing Address - Country:US
Mailing Address - Phone:817-870-2795
Mailing Address - Fax:
Practice Address - Street 1:6100 WESTERN PL STE 105
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-4662
Practice Address - Country:US
Practice Address - Phone:817-870-2795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-11
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131158363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily