Provider Demographics
NPI:1578928958
Name:EMEGWAKO, NALISHA (REGISTERED DIETITIAN)
Entity Type:Individual
Prefix:
First Name:NALISHA
Middle Name:
Last Name:EMEGWAKO
Suffix:
Gender:F
Credentials:REGISTERED DIETITIAN
Other - Prefix:
Other - First Name:NALISHA
Other - Middle Name:
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:10333 HARWIN DR STE 375K
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-1760
Mailing Address - Country:US
Mailing Address - Phone:205-790-3916
Mailing Address - Fax:
Practice Address - Street 1:10333 HARWIN DR STE 375K
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-1760
Practice Address - Country:US
Practice Address - Phone:205-790-3916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-29
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND5860133V00000X
TXDT83257133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered