Individual provider · Type 1 NPI
Benedette Eyiuche Ibenegbu, NURSE PRACTITIONER
Family Nurse Practitioner · Staten Island, NY
NPI number
1205244167
Active
Practice location
475 Seaview Ave
Staten Island, NY 10305-3436
Mailing address
128 Blackford Ave
Staten Island, NY 10302-1617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 526977-1 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | F337167-1 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1205244167
Benedette Eyiuche Ibenegbu, NURSE PRACTITIONER's National Provider Identifier is 1205244167, issued on Jul 23, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Jul 23, 2014.