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NPI Code Detail

MEDICARE: MRS. CHINYE NGOZI OGBUCHIEKWE NP

MEDICARE:  MRS. CHINYE NGOZI OGBUCHIEKWE  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
1363LF0000XFamily Nurse Practitioner16123CA

General Provider Information

NPI Number : 1316162381
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHINYE NGOZI OGBUCHIEKWE NP
Provider Business Mailing Address
First Line : 8774 BRIARCLIFF LN
Second Line :
City : RIVERSIDE
State : CA
Zip : 92508-2519
Country : US
Telephone Number : 951-312-5978
Fax Number :
Provider Business Practice Location Address
First Line : 4190 CHICAGO AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-5348
Country : US
Telephone Number : 951-683-2106
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 02/21/2023

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