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NPI Code Detail

MEDICARE: OKECHUKWU CHARLES EHIGBIBE

MEDICARE: OKECHUKWU CHARLES EHIGBIBE
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner205067ND

General Provider Information

NPI Number : 1346175304
Entity Type Code : Individual
Provider Name (Legal Business Name) : OKECHUKWU CHARLES EHIGBIBE
Provider Business Mailing Address
First Line : 6114 MARTIN LN W
Second Line :
City : WEST FARGO
State : ND
Zip : 58078-2887
Country : US
Telephone Number : 971-240-0003
Fax Number :
Provider Business Practice Location Address
First Line : 6114 MARTIN LN W
Second Line :
City : WEST FARGO
State : ND
Zip : 58078-2887
Country : US
Telephone Number : 971-240-0003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2026
Last Update Date : 06/12/2026

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