Provider Demographics
NPI:1427280262
Name:AWOSIKA, CHRISTIANA (RN)
Entity type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:
Last Name:AWOSIKA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5644 N 78TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-2145
Mailing Address - Country:US
Mailing Address - Phone:414-463-4176
Mailing Address - Fax:414-463-4176
Practice Address - Street 1:5644 N 78TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-2145
Practice Address - Country:US
Practice Address - Phone:414-463-4176
Practice Address - Fax:414-463-4176
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-12
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI125770030163W00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health