Provider Demographics
NPI:1881138642
Name:CHIDUEME, EMMANUELA UCHENNA (HHA)
Entity type:Individual
Prefix:MS
First Name:EMMANUELA
Middle Name:UCHENNA
Last Name:CHIDUEME
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4307 QUANDERS PROMISE DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4694
Mailing Address - Country:US
Mailing Address - Phone:240-437-9028
Mailing Address - Fax:301-341-5052
Practice Address - Street 1:4307 QUANDERS PROMISE DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-4694
Practice Address - Country:US
Practice Address - Phone:240-437-9028
Practice Address - Fax:301-341-5052
Is Sole Proprietor?:No
Enumeration Date:2016-12-14
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA12201374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCHHA12201OtherHOME HEALTH AID