Provider Demographics
NPI:1972841922
Name:CHUKWUELUE, CLARA C (RN)
Entity type:Individual
Prefix:
First Name:CLARA
Middle Name:C
Last Name:CHUKWUELUE
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 1:99 NW 183RD ST STE 234
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4559
Mailing Address - Country:US
Mailing Address - Phone:305-654-8840
Mailing Address - Fax:305-249-9513
Practice Address - Street 1:99 NW 183RD ST STE 234
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-4559
Practice Address - Country:US
Practice Address - Phone:305-654-8840
Practice Address - Fax:305-249-9513
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-26
Last Update Date:2013-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2965762163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse