Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chinasa Nwaulu

Individual provider Family Nurse Practitioner · NPI 1417432220

Chinasa Nwaulu is a Nurse Practitioner in Hyattsville, Maryland. Qualified in 2018, 8 years ago. Practices with Legacy Medical Clinic with Mental Health LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
8
Licensed in
MD
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

6475 New Hampshire Ave
Hyattsville, MD 20783-3269
Phone: (301) 222-3634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R175056 (MD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R175056 (MD)

Record details

NPI number1417432220
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 27, 2018
Last updated in NPPESApril 8, 2021
Certification dateApril 8, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Legacy Medical Clinic With Mental Health Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Hyattsville