Provider Demographics
NPI:1386070977
Name:NWANNA, UCHENNA OBUMNEKE (FNP-BC)
Entity type:Individual
Prefix:
First Name:UCHENNA
Middle Name:OBUMNEKE
Last Name:NWANNA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6107 STONEBURY CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5487
Mailing Address - Country:US
Mailing Address - Phone:202-246-0447
Mailing Address - Fax:301-421-4011
Practice Address - Street 1:6107 STONEBURY CT
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-5487
Practice Address - Country:US
Practice Address - Phone:202-246-0447
Practice Address - Fax:301-421-4011
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-16
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRN162781363LF0000X
DCRN1003021363LF0000X
TXAP126546363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily