Provider Demographics
NPI:1386293504
Name:ONWUNALI, UGONNA C (FNP)
Entity type:Individual
Prefix:
First Name:UGONNA
Middle Name:C
Last Name:ONWUNALI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1318 IRON DALE DR
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-8611
Mailing Address - Country:US
Mailing Address - Phone:718-415-5247
Mailing Address - Fax:
Practice Address - Street 1:1318 IRON DALE DR
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-8611
Practice Address - Country:US
Practice Address - Phone:718-415-5247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-10
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAPI41851363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty