Chinyere Jennifer Anyanwu

Individual provider Active NPI Home Health Registered Nurse · Glendale, WI

NPI 1073429650 · NPPES record last updated Aug 21, 2026

Key facts

NPI
1073429650
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
1114459 (WI)
Practice address
6736 N Sidney PL Apt 109
Glendale, WI 53209-3255
Phone
(414) 446-1596
NPI assigned
Aug 21, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1114459 WI
Case Management Registered Nurse 163WC0400X 1114459 WI
Pain Management Registered Nurse 163WP0000X 1114459 WI
Home Health Registered Nurse 163WH0200X 1114459 WI Yes
Wound Care Registered Nurse 163WW0000X 1114459 WI

Addresses

Primary practice location

6736 N Sidney PL Apt 109
Glendale, WI 53209-3255

Mailing address

6736 N Sidney PL Apt 109
Glendale, WI 53209-3255

Other providers in Glendale, WI

All providers in Glendale, WI · Home Health Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.