Provider Demographics
NPI:1306268701
Name:ENWONWU, CHINELO (PHARMD,MPH,CHES)
Entity type:Individual
Prefix:DR
First Name:CHINELO
Middle Name:
Last Name:ENWONWU
Suffix:
Gender:F
Credentials:PHARMD,MPH,CHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6518 CHINA GROVE CT
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-2430
Mailing Address - Country:US
Mailing Address - Phone:216-288-9655
Mailing Address - Fax:
Practice Address - Street 1:320 40TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-3372
Practice Address - Country:US
Practice Address - Phone:202-396-2331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-20
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X
13693174H00000X
VA0202211247183500000X
DCPH100001022183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No171400000XOther Service ProvidersHealth & Wellness Coach
No174H00000XOther Service ProvidersHealth Educator