Provider Demographics
NPI:1184233843
Name:UWAOMA, CHITURU (DNP)
Entity type:Individual
Prefix:DR
First Name:CHITURU
Middle Name:
Last Name:UWAOMA
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:664 W CHENNAULT AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-6792
Mailing Address - Country:US
Mailing Address - Phone:914-980-0230
Mailing Address - Fax:
Practice Address - Street 1:664 W CHENNAULT AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-6792
Practice Address - Country:US
Practice Address - Phone:914-980-0230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-29
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA664733163W00000X
CA95015762363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse