Provider Demographics
NPI:1326543083
Name:UCHEWUAKORUGO NWUGO, NKECHINYERE (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:NKECHINYERE
Middle Name:
Last Name:UCHEWUAKORUGO NWUGO
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22101 GRAND CORNER DR APT 10208
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5948
Mailing Address - Country:US
Mailing Address - Phone:713-883-9161
Mailing Address - Fax:
Practice Address - Street 1:22101 GRAND CORNER DR APT 10208
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494
Practice Address - Country:US
Practice Address - Phone:713-882-9161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX762861163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics