Provider Demographics
NPI:1689843369
Name:NWEKE, SCHOLASTICA IRUKA (RN)
Entity Type:Individual
Prefix:MRS
First Name:SCHOLASTICA
Middle Name:IRUKA
Last Name:NWEKE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3202 DELAFORD DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-3036
Mailing Address - Country:US
Mailing Address - Phone:972-394-4709
Mailing Address - Fax:972-394-4574
Practice Address - Street 1:3202 DELAFORD DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-3036
Practice Address - Country:US
Practice Address - Phone:972-394-4709
Practice Address - Fax:972-394-4574
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-26
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010258163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-9705OtherMEDICARE PROVIDER NUMBER