Provider Demographics
NPI:1861444028
Name:NWODO, SCHOLASTICA NNENNA (FNP)
Entity type:Individual
Prefix:MRS
First Name:SCHOLASTICA
Middle Name:NNENNA
Last Name:NWODO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2663 TURNING ROW LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4343
Mailing Address - Country:US
Mailing Address - Phone:832-755-7805
Mailing Address - Fax:832-886-1675
Practice Address - Street 1:2663 TURNING ROW LN
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4343
Practice Address - Country:US
Practice Address - Phone:382-755-7805
Practice Address - Fax:832-886-1675
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX609245363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX193240201Medicaid
TX193240201Medicaid