Provider Demographics
NPI:1124616180
Name:NWAMUO, CHRISTIANA OGE (RN,BSN,MSN-PH)
Entity type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:OGE
Last Name:NWAMUO
Suffix:
Gender:F
Credentials:RN,BSN,MSN-PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5730 BENTLEY DR STE B
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-5460
Mailing Address - Country:US
Mailing Address - Phone:469-869-6999
Mailing Address - Fax:214-328-6210
Practice Address - Street 1:5730 BENTLEY DR STE B
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-5460
Practice Address - Country:US
Practice Address - Phone:469-869-6999
Practice Address - Fax:214-328-6210
Is Sole Proprietor?:No
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX648298163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX01052021Medicaid