Chimuanya Chukwu
Individual provider Active NPI Family Nurse Practitioner · Piedmont, CA
NPI 1790041580 · NPPES record last updated Sep 22, 2023
Key facts
- NPI
- 1790041580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95026591 (CA)
- Practice address
- 460 Boulevard Way Ste 1D
Piedmont, CA 94610-1563 - Phone
- (510) 467-2606
- NPI assigned
- Apr 5, 2012
- 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)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Family Nurse Practitioner | 363LF0000X | 95026591 | CA | Yes |
Addresses
Primary practice location
460 Boulevard Way Ste 1D
Piedmont, CA 94610-1563
Mailing address
460 Boulevard Way Ste 10
Piedmont, CA 94610-1563
Phone (510) 467-2606
Other providers in Piedmont, CA
- Amanda Carlson
- Kristine Carvalho
- Dereassa Chambers
- Robert W Chow
- Chris S Guerisoli DDS PC
- Jean Catherine Church
- City of Piedmont
- Heather Paige Collins
- Jan Rose Corwin
- Bruce Cribley
All providers in Piedmont, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.