Provider Demographics
NPI:1871300343
Name:CHUKWUKELU, UDECHUKWUNYEREM
Entity type:Individual
Prefix:
First Name:UDECHUKWUNYEREM
Middle Name:
Last Name:CHUKWUKELU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5456 DESERT SPRING RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-6619
Mailing Address - Country:US
Mailing Address - Phone:702-824-3934
Mailing Address - Fax:
Practice Address - Street 1:5456 DESERT SPRING RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-6619
Practice Address - Country:US
Practice Address - Phone:702-824-3934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV891780163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health