Doctor Name: | CHIKA NWANEDO |
NPI Number: | 1932570181 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 604 Se Maynard Rd Cary, NC - 275115718 |
Business Phone Number: | 9194672416 |
Business Fax Number: | |
Mailing Address: | 3505 Boren Ct, RALEIGH |
State: | NC |
Postal Code: | 276168965 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/14/2015 |
NPI Last Update Date: | 10/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |