Individual
MS. CHIMNOYA N NWAGWU-YOULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0441190
KS
208M00000X
Hospitalist Physician
01075285
IN
208M00000X
Hospitalist Physician
Primary
2020030113
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000983476
ANTHEM PIN
IN
05
—
201291200
—
IN
Enumeration date
04/08/2010
Last updated
09/24/2020
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