Provider Demographics
NPI:1295177277
Name:UWAMU, CLARA NNEBUOGOR (RN, FNP-C)
Entity type:Individual
Prefix:
First Name:CLARA
Middle Name:NNEBUOGOR
Last Name:UWAMU
Suffix:
Gender:F
Credentials:RN, FNP-C
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Mailing Address - Street 1:2600 VICTORY PKWY
Mailing Address - Street 2:CINCINNATI
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-1711
Mailing Address - Country:US
Mailing Address - Phone:513-751-7747
Mailing Address - Fax:513-751-0180
Practice Address - Street 1:2001 S MEDFORD DR
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75901-6260
Practice Address - Country:US
Practice Address - Phone:936-633-5672
Practice Address - Fax:936-633-5695
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-19
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX843595363LF0000X
OHRN.303331-COA1163W00000X
OHCOA.14498-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse