Provider Demographics
NPI:1700226875
Name:OHAKA, CHINWE P (RN, CNP)
Entity Type:Individual
Prefix:MRS
First Name:CHINWE
Middle Name:P
Last Name:OHAKA
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Gender:F
Credentials:RN, CNP
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Mailing Address - Street 1:1560 E MAPLE ROAD
Mailing Address - Street 2:SUITE 400 - CREDENTIALING DEPARTMENT
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1138
Mailing Address - Country:US
Mailing Address - Phone:313-745-4275
Mailing Address - Fax:313-745-4468
Practice Address - Street 1:4201 ST ANTOINE STE 8A & 8B
Practice Address - Street 2:UNIVERSITY HEALTH CENTER
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2153
Practice Address - Country:US
Practice Address - Phone:313-745-4275
Practice Address - Fax:313-745-4468
Is Sole Proprietor?:No
Enumeration Date:2013-07-03
Last Update Date:2016-02-09
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Provider Licenses
StateLicense IDTaxonomies
MI4704269173363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner