Provider Demographics
NPI:1902388226
Name:NZEAGWU, JOSEPHINE AMINATU (RN)
Entity Type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:AMINATU
Last Name:NZEAGWU
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 1:406 COLONY LAKE ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4594
Mailing Address - Country:US
Mailing Address - Phone:713-377-1687
Mailing Address - Fax:
Practice Address - Street 1:406 COLONY LAKE ESTATES DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4594
Practice Address - Country:US
Practice Address - Phone:713-377-1687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX664363163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics