MEDICARE: CHRISTENCIA NKECHI OBINNA-IGBOKWE NP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	61546581	WA

General Provider Information

NPI Number	:	1548000847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTENCIA NKECHI OBINNA-IGBOKWE NP

Provider Business Mailing Address
First Line	:	4002 S M ST STE C
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98418-3800
Country	:	US
Telephone Number	:	253-254-5213
Fax Number	:	253-237-9487

Provider Business Practice Location Address
First Line	:	4002 S M ST STE C
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98418-3800
Country	:	US
Telephone Number	:	253-254-5213
Fax Number	:	253-237-9487

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

Provider Enumeration Date	:	05/27/2024
Last Update Date	:	01/16/2026

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