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NPI Code Detail

MEDICARE: GINIKACHUKWU AWOKE EGBUJIE APRN

MEDICARE:   GINIKACHUKWU  AWOKE EGBUJIE  APRN
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
1363LP2300XPrimary Care Nurse Practitioner811377NV
2363LF0000XFamily Nurse Practitioner811377NV

General Provider Information

NPI Number : 1033994256
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINIKACHUKWU AWOKE EGBUJIE APRN
Provider Business Mailing Address
First Line : 1800 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2329
Country : US
Telephone Number : 702-383-2000
Fax Number :
Provider Business Practice Location Address
First Line : 5785 CENTENNIAL CENTER BLVD STE 230
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-7109
Country : US
Telephone Number : 702-383-2273
Fax Number : 702-383-6266
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2023
Last Update Date : 06/25/2026

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Directions to “ GINIKACHUKWU AWOKE EGBUJIE APRN” Practice Location

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