Provider Demographics
NPI:1336628379
Name:NKEMKA, EUGENIE NKENGAKA (N/A)
Entity type:Individual
Prefix:MRS
First Name:EUGENIE
Middle Name:NKENGAKA
Last Name:NKEMKA
Suffix:
Gender:F
Credentials:N/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 BABCOCK RD APT 3401
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4847
Mailing Address - Country:US
Mailing Address - Phone:210-849-3617
Mailing Address - Fax:
Practice Address - Street 1:2626 BABCOCK RD APT 3401
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4847
Practice Address - Country:US
Practice Address - Phone:210-849-3617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-10
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX308882164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse