Provider Demographics
NPI:1679022677
Name:NWOSA, CHIKAODILI JENNIFER
Entity Type:Individual
Prefix:MRS
First Name:CHIKAODILI
Middle Name:JENNIFER
Last Name:NWOSA
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:CHIKAODILI
Other - Middle Name:JENNIFER
Other - Last Name:NWAEZE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6860 RIVERDALE RD
Mailing Address - Street 2:APT 103
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1057
Mailing Address - Country:US
Mailing Address - Phone:240-472-7825
Mailing Address - Fax:
Practice Address - Street 1:6860 RIVERDALE RD
Practice Address - Street 2:APT 103
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-1057
Practice Address - Country:US
Practice Address - Phone:240-472-7825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-02
Last Update Date:2016-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHHA12356374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide