Provider Demographics
NPI:1801138599
Name:NWACHUKWU, MARCELLUS UGWUNNA
Entity type:Individual
Prefix:
First Name:MARCELLUS
Middle Name:UGWUNNA
Last Name:NWACHUKWU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7052 PALAMAR TURN
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2168
Mailing Address - Country:US
Mailing Address - Phone:240-481-8429
Mailing Address - Fax:
Practice Address - Street 1:7052 PALAMAR TURN
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2168
Practice Address - Country:US
Practice Address - Phone:240-481-8429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide