Provider Demographics
NPI:1619413325
Name:KURUNWUNE, CHIKA LINDA (FNP)
Entity Type:Individual
Prefix:
First Name:CHIKA
Middle Name:LINDA
Last Name:KURUNWUNE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6031 HEATHMOOR LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-6459
Mailing Address - Country:US
Mailing Address - Phone:512-207-0767
Mailing Address - Fax:
Practice Address - Street 1:6031 HEATHMOOR LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-6459
Practice Address - Country:US
Practice Address - Phone:512-207-0767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-19
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131894363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily