Provider Demographics
NPI:1023710860
Name:ONUORAH, NDIDIAMAKA
Entity type:Individual
Prefix:
First Name:NDIDIAMAKA
Middle Name:
Last Name:ONUORAH
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 1:1213 GLEN ELLEN CT
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-5311
Mailing Address - Country:US
Mailing Address - Phone:214-404-1982
Mailing Address - Fax:
Practice Address - Street 1:1213 GLEN ELLEN CT
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-5311
Practice Address - Country:US
Practice Address - Phone:214-404-1982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX988748163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse