Provider Demographics
NPI:1285994327
Name:NWAEKWU, UDOKA (MS, RD, LD)
Entity type:Individual
Prefix:MS
First Name:UDOKA
Middle Name:
Last Name:NWAEKWU
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 VARNUM STREET N.E.
Mailing Address - Street 2:PROVIDENCE HOSPITAL , FOOD & NUTRITION DEPARTMENT
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-2180
Mailing Address - Country:US
Mailing Address - Phone:202-269-7154
Mailing Address - Fax:
Practice Address - Street 1:1150 VARNUM STREET N.E.
Practice Address - Street 2:PROVIDENCE HOSPITAL , FOOD & NUTRITION DEPARTMENT
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2180
Practice Address - Country:US
Practice Address - Phone:202-269-7154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCD1100000253133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered