Provider Demographics
NPI:1578390209
Name:UNIGWE, CHRISTIANA NNEKA (APRN)
Entity type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:NNEKA
Last Name:UNIGWE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20019 SAGEBRUSH HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-7489
Mailing Address - Country:US
Mailing Address - Phone:301-549-0646
Mailing Address - Fax:
Practice Address - Street 1:129 VISION PARK BLVD STE 109
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77384-3024
Practice Address - Country:US
Practice Address - Phone:936-273-0836
Practice Address - Fax:936-321-2266
Is Sole Proprietor?:No
Enumeration Date:2024-09-17
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1170845363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology