Healthcare Provider Details

I. General information

NPI: 1851017487
Provider Name (Legal Business Name): CHIGOZIE BLESSING AMAEFUNA DNP, FNP-BC, PMHNP-B
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2022
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 LINDENWOOD DR STE 225
MALVERN PA
19355-1762
US

IV. Provider business mailing address

101 LINDENWOOD DR STE 225
MALVERN PA
19355-1762
US

V. Phone/Fax

Practice location:
  • Phone: 267-270-9582
  • Fax:
Mailing address:
  • Phone: 267-270-9582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP026454
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP033989
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: