Individual
CHINYERE OBIAKWATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
201 PRUITT RD APT 430, SPRING, TX 77380
(973) 640-0074
Mailing address
201 PRUITT RD APT 430, SPRING, TX 77380-3167
(973) 640-0074
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
26NJ00740100
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
AP137635
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0582361
—
NJ
Enumeration date
07/17/2017
Last updated
03/06/2019
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