Provider Demographics
NPI:1104144658
Name:NWEKE, CLEMENTINE CHINELO (RN)
Entity type:Individual
Prefix:MRS
First Name:CLEMENTINE
Middle Name:CHINELO
Last Name:NWEKE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8606 BARRON WOOD CIR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6510
Mailing Address - Country:US
Mailing Address - Phone:281-455-4261
Mailing Address - Fax:281-988-6271
Practice Address - Street 1:8606 BARRON WOOD CIR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6510
Practice Address - Country:US
Practice Address - Phone:281-455-4261
Practice Address - Fax:281-988-6271
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities