Provider Demographics
NPI:1952188740
Name:CHIKWENDU, NNEOMA (RN)
Entity Type:Individual
Prefix:
First Name:NNEOMA
Middle Name:
Last Name:CHIKWENDU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10528 NASSAU ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46234-3181
Mailing Address - Country:US
Mailing Address - Phone:317-457-0375
Mailing Address - Fax:
Practice Address - Street 1:10528 NASSAU ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46234-3181
Practice Address - Country:US
Practice Address - Phone:317-457-0375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant