Provider Demographics
NPI:1750914743
Name:NWACHUKWU, OLACHI CATHERINE (NP)
Entity type:Individual
Prefix:
First Name:OLACHI
Middle Name:CATHERINE
Last Name:NWACHUKWU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:OLACHI
Other - Middle Name:CATHERINE
Other - Last Name:SORIBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:500 KIRTS BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-4140
Mailing Address - Country:US
Mailing Address - Phone:248-434-6169
Mailing Address - Fax:855-618-6655
Practice Address - Street 1:7229 FOREST AVE.
Practice Address - Street 2:STE. 111, HIGHLAND II BUILDING
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-3765
Practice Address - Country:US
Practice Address - Phone:248-434-6169
Practice Address - Fax:855-618-6655
Is Sole Proprietor?:No
Enumeration Date:2020-02-18
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024178991363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily