Doctor Name: | CYNTHIA O NDUKWU |
NPI Number: | 1386943207 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 790074 |
Business Practice Address: | 149 Hart St. Sheppard Afb, TX - 76311 |
Business Phone Number: | 9406766855 |
Business Fax Number: | |
Mailing Address: | 149 Hart St., SHEPPARD AFB |
State: | TX |
Postal Code: | 76311 |
Phone Number: | 9406766855 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2011 |
NPI Last Update Date: | 03/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 790074 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |