Provider Demographics
NPI:1932943214
Name:NWAIGWE, CHINWE
Entity type:Individual
Prefix:MS
First Name:CHINWE
Middle Name:
Last Name:NWAIGWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 WOODSIDE PL APT 1
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07104-2816
Mailing Address - Country:US
Mailing Address - Phone:917-257-1570
Mailing Address - Fax:
Practice Address - Street 1:73 WOODSIDE PL APT 1
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07104-2816
Practice Address - Country:US
Practice Address - Phone:917-257-1570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR18919300163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice