Provider Demographics
NPI:1508363920
Name:EMELOGU, NNENNA AMARACHUKWU (RN)
Entity type:Individual
Prefix:
First Name:NNENNA
Middle Name:AMARACHUKWU
Last Name:EMELOGU
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 1:503 TASKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-6233
Mailing Address - Country:US
Mailing Address - Phone:713-540-6004
Mailing Address - Fax:
Practice Address - Street 1:503 TASKWOOD DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-6233
Practice Address - Country:US
Practice Address - Phone:713-540-6004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX669317163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse