Provider Demographics
NPI:1851719249
Name:CHIDI, EDITH OFUNMEAMAKA
Entity Type:Individual
Prefix:
First Name:EDITH
Middle Name:OFUNMEAMAKA
Last Name:CHIDI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4003 COOPER LN APT B6
Mailing Address - Street 2:HYATTSVILLE
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1971
Mailing Address - Country:US
Mailing Address - Phone:240-280-9876
Mailing Address - Fax:
Practice Address - Street 1:4003 COOPER LN APT B6
Practice Address - Street 2:HYATTSVILLE
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-1971
Practice Address - Country:US
Practice Address - Phone:240-280-9876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide