Provider Demographics
NPI:1922712470
Name:UZOIGWE, WINIFRED OBIANUJU
Entity Type:Individual
Prefix:
First Name:WINIFRED
Middle Name:OBIANUJU
Last Name:UZOIGWE
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 1:920 MACAW WAY
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-7208
Mailing Address - Country:US
Mailing Address - Phone:214-861-6189
Mailing Address - Fax:
Practice Address - Street 1:941 YORK DR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2065
Practice Address - Country:US
Practice Address - Phone:214-861-6189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1071632363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health