MEDICARE: MRS. CHIDINMA EZE MADUBUIBE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN500015442	DC

General Provider Information

NPI Number	:	1225522055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHIDINMA EZE MADUBUIBE

Provider Business Mailing Address
First Line	:	4341 1ST ST NE APT 4
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-7476
Country	:	US
Telephone Number	:	202-677-2659
Fax Number	:

Provider Business Practice Location Address
First Line	:	4341 1ST ST NE APT 4
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-7476
Country	:	US
Telephone Number	:	202-677-2659
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2018
Last Update Date	:	10/22/2025

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