Provider Demographics
NPI:1609232875
Name:CHUKWUNYERE, CHELSEA NDIDIAMAKA (MS, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:NDIDIAMAKA
Last Name:CHUKWUNYERE
Suffix:
Gender:F
Credentials:MS, APRN, FNP-C
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:NDIDIAMAKA
Other - Last Name:OZIGBOH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, APRN, FNP-C
Mailing Address - Street 1:8300 ESTERS BLVD STE 900
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-2233
Mailing Address - Country:US
Mailing Address - Phone:415-424-4266
Mailing Address - Fax:415-520-6633
Practice Address - Street 1:10775 PIONEER TRL STE 215
Practice Address - Street 2:
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161-0234
Practice Address - Country:US
Practice Address - Phone:415-424-4266
Practice Address - Fax:415-520-6633
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-04
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV831025363LF0000X
CA95009645363LF0000X
TXAP129923363LF0000X
OR202114403NP-PP363LF0000X
WAAP61133302363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily