Provider Demographics
NPI:1922505825
Name:UNUIGBEY, CHANTEA NICHOLE (LVN)
Entity Type:Individual
Prefix:
First Name:CHANTEA
Middle Name:NICHOLE
Last Name:UNUIGBEY
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10075 ROYAL LN APT 2070
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-1135
Mailing Address - Country:US
Mailing Address - Phone:405-473-3115
Mailing Address - Fax:
Practice Address - Street 1:10075 ROYAL LN APT 2070
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-1135
Practice Address - Country:US
Practice Address - Phone:405-473-3115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX319575164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse