Provider Demographics
NPI:1750829123
Name:AKWIWU, CHIKA OKEM (DNP, MSN, BSC, PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:CHIKA
Middle Name:OKEM
Last Name:AKWIWU
Suffix:
Gender:F
Credentials:DNP, MSN, BSC, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 E MAIN ST STE A1B1021
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-5727
Mailing Address - Country:US
Mailing Address - Phone:833-756-8643
Mailing Address - Fax:425-459-1944
Practice Address - Street 1:6505 216TH ST SW STE 100
Practice Address - Street 2:
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043-2089
Practice Address - Country:US
Practice Address - Phone:833-756-8643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-06
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN217067363LF0000X
AZ238123363LP0808X
FLAPRN11012195363LP0808X
OR202200497NP-PP363LP0808X
WAAP61055172363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily