Provider Demographics
NPI:1962840314
Name:UDUHIRI, CHINWE CONSTANCE (RN)
Entity Type:Individual
Prefix:MISS
First Name:CHINWE
Middle Name:CONSTANCE
Last Name:UDUHIRI
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 1:3305 FOSTER AVE
Mailing Address - Street 2:APT. 5B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-6407
Mailing Address - Country:US
Mailing Address - Phone:347-607-6190
Mailing Address - Fax:
Practice Address - Street 1:3305 FOSTER AVE
Practice Address - Street 2:APT. 5B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-6407
Practice Address - Country:US
Practice Address - Phone:347-607-6190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY668685-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse