MEDICARE: CHINWE IBE

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	363L00000X	Nurse Practitioner	4704364206	MI

General Provider Information

NPI Number	:	1477270957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHINWE IBE

Provider Business Mailing Address
First Line	:	6223 N CANTON CENTER RD STE 201
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-2696
Country	:	US
Telephone Number	:	734-844-5333
Fax Number	:

Provider Business Practice Location Address
First Line	:	6223 N CANTON CENTER RD STE 201
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-2696
Country	:	US
Telephone Number	:	734-844-5333
Fax Number	:

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

Provider Enumeration Date	:	10/25/2022
Last Update Date	:	03/31/2026

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Directions to “ CHINWE IBE ” Practice Location

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