Provider Demographics
NPI:1841707924
Name:NWOZU, VIVIAN CHIOMA (NP-C)
Entity type:Individual
Prefix:
First Name:VIVIAN
Middle Name:CHIOMA
Last Name:NWOZU
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:VIVIAN
Other - Middle Name:CHIOMA
Other - Last Name:OKAFOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2537 GOLDEN BEAR DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-2377
Mailing Address - Country:US
Mailing Address - Phone:214-836-4366
Mailing Address - Fax:866-886-5330
Practice Address - Street 1:5315 ROSS AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-7418
Practice Address - Country:US
Practice Address - Phone:214-826-2151
Practice Address - Fax:214-826-2196
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-10
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136145363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily